背景:老年股骨转子间骨折具有老年化、不稳定性、并发症多、病死率高等特点,选择合适的内固定方式对治疗效果起重要作用.目的:比较股骨近端防旋髓内钉与股骨近端锁定板微创治疗不稳定型老年骨质疏松股骨转子间骨折的临床疗效.方法:对60例不稳定型股骨转子间骨折患者的临床资料进行分析,将其随机分为治疗组和对照组.治疗组30例应用股骨防旋髓内钉治疗;对照组30例应用锁定接骨板治疗,观察患者手术情况、功能恢复情况、并发症等.结果与结论:①治疗组患者切口长度、手术时间、术中出血量、负重时间均显著短于对照组(P<0.01);②治疗组Harris功能评分及髋关节功能优良率均显著高于对照组(P<0.05);③治疗组内固定后并发症发生率明显低于对照组;④结果说明,应用股骨防旋髓内钉可显著提高骨折复位固定的治疗效果.%BACKGROUND: Senile intertrochanteric fracture is characterized as aging, instability, more complications and high mortality, so choosing an appropriate internal fixation method is critical.OBJECTIVE: To compare the curative efficacy of proximal femoral nail anti-rotation and locking proximal femoral plate for senile osteoporotic patients with unstable intertrochanteric fractures.METHODS: Sixty elderly patients with unstable intertrochanteric fractures were enrolled, and the clinical data were collected. They were randomized into treatment and control groups (n=30 per group), and subjected to internal fixation using proximal femoral nail anti-rotation and locking proximal femoral plate, respectively. The operative indexes,functional recovery and complications were observed in the two groups RESULTS AND CONCLUSION: (1) The incision length, operation time, intraoperative blood loss and time of weight bearing in the treatment group were significantly less than those in the control group (P < 0.01). (2) Harris hip scores in the treatment group were significantly higher than those in the control group (P < 0.05). (3) The incidence of complications in the treatment group was obviously lower than that in the control group. (4) To conclude, the proximal femoral nail anti-rotation exhibits satisfactory treatment outcomes in the internal fixation of unstable intertrochanteric fractures.
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