股骨近端防旋髓内钉微创治疗糖尿病与非糖尿病患者股骨粗隆间骨折的效果比较分析

摘要

目的：探讨股骨近端防旋髓内钉（ PFNA）微创治疗糖尿病与非糖尿病患者股骨粗隆间骨折的效果。方法收集2012－08～2014－08该院骨科收治的股骨粗隆间骨折患者87例，其中非糖尿病患者48例，糖尿病患者39例。采用麻醉及 C 臂的帮助下牵引床闭合复位满意后，行 PFNA 内固定治疗。结果非糖尿病组患者术后并发症发生率（8.33％）低于糖尿病组（51.28％）。两组比较髋关节功能 Harris 评分差异无统计学意义（P ＞0.05）。结论糖尿病患者 PFNA 微创治疗股骨粗隆间骨折疗效与非糖尿病患者相当，但其并发症发生率较非糖尿病患者高。%Objective To explore the prognosis of proximal femur prevent rotation intramedullary nailing (PFNA) on diabetic patients and non-diabetic patients with intertrochanteric fractures.Methods Eighty-seven pa-tients with intertrochanteric fractures were collected in our hospital from August 2010 to August 2012, among which 48 patients were in the non-diabetic group and 39 patients in the diabetic group.The satisfied help of C arm and closed reduction by the traction bed PFNA internal fixation treatment was performed after anesthesia.Results The incidence of postoperative complications in the non-diabetic group(8.33%) was less than that in the diabetic group (51.28%).There was no significant difference in Harris score of hip function between the two groups.Conclusion The curative effect of PFNA internal fixation treatment on diabetic patients with intertrochanteric fracture is similar to that on non-diabetic patients.However, the incidence of complications is higher in diabetic patients.