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目的:分析锁定钢板(ADHLP)和股骨近端防旋髓内钉(PFNA)治疗老年股骨转子间骨折的疗效。方法:收治65例老年股骨转子间骨折,其中应用ADHLP治疗35例,PFNA治疗30例。结果:对两种方法进行比较,ADHLP组的术中出血量、术中透视次数明显小于PFNA组(P<0.05);ADHLP组的下床时间比PFNA组要迟,而骨折愈合时间两组无显著性差异(P>0.05);两组患者骨折全部骨性愈合,ADHLP组优良率为91.4%、PFNA组优良率为93.3%,无显著性差异(P>0.05);两组并发症发生率差异无统计学意义(P>0.05)。结论:治疗老年股骨转子间骨折,ADHLP和PFNA都是一种有效的内固定方法,疗效满意,临床医生可依据个体化差异进行选择使用。
Objective: To evaluate the efficacy of locking plate (ADHLP) and proximal femoral nail (PFNA) in the treatment of intertrochanteric fractures in the elderly. Methods: Sixty-five elderly patients with intertrochanteric fractures were treated, including 35 cases treated with ADHLP and 30 cases treated with PFNA. Results: Compared with the PFNA group, the amount of intraoperative blood loss and intraoperative fluoroscopy in the ADHLP group were significantly lower than those in the PFNA group (P <0.05). The time to get out of bed in the ADHLP group was longer than that in the PFNA group (P> 0.05). All the fractures healed in both groups. The excellent and good rates were 91.4% in ADHLP group and 93.3% in PFNA group (P> 0.05). The complication rates The difference was not statistically significant (P> 0.05). Conclusion: The treatment of elderly intertrochanteric fractures, ADHLP and PFNA are an effective method of internal fixation, the effect is satisfactory, clinicians can choose to use individual differences.