DHS、PFNA、InterTAN治疗老年股骨转子间骨折疗效分析

摘要

Objective:To compare the efficacy of 3 kinds of internal fixation with InterTAN intramedullary nail,PFNA anti rotation intramedullary nail and DHS dynamic hip screw in the treatment of intertrochanteric fractures in the elderly.Methods:We made a retrospective analysis of DHS,PFNA and InterTAN 3 kinds of different internal fixation for the treatment of intertrochanteric fractures in elderly patients.The amount of blood loss,operation time,postoperative loading time,postoperative complications and hip function score were compared.Results:The average operation time,intraoperative blood loss,postoperative weight-bearing time in the InterTAN group and the PFNA group were significantly better than the DHS group(P<0.05).Conclusion:The InterTAN and PFNA in the treatment of intertrochanteric fractures of the surgical trauma is small,and the postoperative recovery is faster,which is more suitable for the treatment of intertrochanteric fracture in elderly patients.%目的：比较InterTAN髓内钉、PFNA防旋髓内钉和DHS动力髋螺钉3种内固定治疗股骨转子间骨折的疗效。方法：回顾性分析DHS、PFNA和InterTAN 3种不同内固定治疗老年转子间骨折，比较患者术中出血量、手术时间、术后下地负重时间、术后并发症以及随访时的髋关节功能评分。结果：InterTAN组和PFNA组的平均手术时间、术中出血量、术后下地负重时间均明显优于DHS组(P＜0.05)。结论：InterTAN和PFNA治疗股骨转子间骨折手术创伤小，术后恢复快，更加适用于老年转子间骨折治疗。