车晓明;刘建华;王明远;韩岗;

• 1:青海省人民医院

摘要(Abstract)：

[目的]对比分析股骨近端抗旋转髓内钉(proximal femoral nail anti-rotation,PFNA)和加长柄人工股骨头置换治疗老年不稳定粗隆间骨折的疗效。[方法]对本院2006年5月~2012年12月应用股骨近端抗旋转髓内钉(PFNA组)、加长柄双极人工股骨头置换(AFHR组)2种手术方式治疗老年不稳定粗隆间骨折的疗效进行对比分析。[结果]40例患者均获随访,随访时间12~18个月,平均14.3个月,其中,PFNA组22例,AFHR组18例,在出血量、手术时间上PFNA组较AFRH组手术时间短、出血量少,差异有统计学意义(P<0.001);在术后Harris评分、感染率、术后慢性并发症PFNA组较AFHR组差异无统计学意义(P>0.05),下地负重时间二者差异有统计学意义(P<0.05)。[结论]PFNA手术时间短、出血量少,术后Harris评分及感染率二者无明显差异,但AFHR组在早期功能锻炼方面更具优势。

关键词(KeyWords)： 老年不稳定粗隆间骨折;股骨近端抗旋转髓内钉;长柄人工股骨头置换

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 车晓明;刘建华;王明远;韩岗;

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参考文献(References)：

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