侧卧位和仰卧位PFNA治疗超高龄股骨粗隆间骨折的疗效比较

马炜; 李一凡; 潘檀; 李学军; 李立; 干阜生

doi:10.13898/j.cnki.issn.1000-2200.2016.09.022

侧卧位和仰卧位PFNA治疗超高龄股骨粗隆间骨折的疗效比较

安徽省阜阳市人民医院骨科关节创伤病区, 236000

作者简介: 马炜(1979-),男,主治医师.

中图分类号: R683.42

Effect comparison of the PNFA between lateral decubitus and supine position in the treatment of intertrochanteric femur fracturesin the advanced age patients

Joint and Trauma Ward of Orthopaedics, The First People's Hospital of Fuyang, Fuyang Anhui 236000, China
CLC number: R683.42

摘要: 目的：对比侧卧位和仰卧位防旋型股骨近端髓内钉（PFNA）治疗超高龄股骨粗隆间骨折患者的疗效。方法：对20例超高龄股骨粗隆间骨折患者进行侧卧位和仰卧位PFNA治疗。记录手术时间、观察测量术后尖顶距及调查计算随访患者Harris髋关节功能评分，对比其疗效。结果：侧卧位组平均手术时间为（42.6±7.4）min，仰卧位组为（97.5±38.82）min，侧卧位组手术时间明显短于仰卧位组（P<0.01）。患者随访时间为8～21个月，其中18例患者随访时间超过1年。根据Harris髋关节功能评分表评分，结果显示侧卧位组和仰卧位组分别为（84.9±3.45）分、（87.2±5.6）分，2组尖顶距分别为（20.2±4.89）mm、（21.5±4.86）mm，差异均无统计学意义（P>0.05）。结论：相对于仰卧位，侧卧位PFNA治疗超高龄股骨粗隆间骨折患者，简化了手术操作，长期疗效令人满意。
- 股骨粗隆间骨折 /
- 防旋型股骨近端髓内钉 /
- 侧卧位 /
- 仰卧位 /
- 超高龄
Abstract: Objective: To compare the effects of the proximal femoral nail antirotation(PNFA) between lateral decubitus and supine position in the treatment of intertrochanteric femur fractures in the advanced age patients.Methods: Twenty advanced age patients with intertrochanteric femur fractures were treated with PFNA in lateral decubitus and supine position.The operating time,postoperative tip-apex distance(TAD) and Harris hip score were observed,and the curative effects between two positions were compared.Results: The average operation time in patients with the lateral decubitus position (42.6±7.4) mins was shorter than that in patients with supine position (97.5±38.82) mins(P<0.01).All patients were followed up for 8 to 21 months,and the following up time in 18 cases were more than 1 year.The Harris hip score and TAD in patients with the latral decubitus position and supine position were (84.9±3.45)point & (87.2±5.6)point and (20.2±4.89)mm & (21.5±4.86)mm,respectively,the difference of which was not statistically significant(P>0.05).Conclusions: Compare with the supine position,the PNFA in latral decubitus position in treating the advanced age patients can simplify the operative process,and the long-term effect of which is satisfactory.
- intertrochanteric femur fracture /
- proximal femoral nail antirotation /
- lateral decubitus position /
- supine position /
- advanced age

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侧卧位和仰卧位PFNA治疗超高龄股骨粗隆间骨折的疗效比较

作者简介: 马炜(1979-),男,主治医师.

Effect comparison of the PNFA between lateral decubitus and supine position in the treatment of intertrochanteric femur fracturesin the advanced age patients

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侧卧位和仰卧位PFNA治疗超高龄股骨粗隆间骨折的疗效比较

作者简介: 马炜(1979-),男,主治医师.

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Effect comparison of the PNFA between lateral decubitus and supine position in the treatment of intertrochanteric femur fracturesin the advanced age patients

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侧卧位和仰卧位PFNA治疗超高龄股骨粗隆间骨折的疗效比较

作者简介: 马炜(1979-),男,主治医师.

Effect comparison of the PNFA between lateral decubitus and supine position in the treatment of intertrochanteric femur fracturesin the advanced age patients

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侧卧位和仰卧位PFNA治疗超高龄股骨粗隆间骨折的疗效比较

作者简介: 马炜(1979-),男,主治医师.

English Abstract

Effect comparison of the PNFA between lateral decubitus and supine position in the treatment of intertrochanteric femur fracturesin the advanced age patients

全文HTML

目录