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目的探究半髋关节置换与PFNA固定治疗高龄股骨转子间骨折的治疗效果对比。方法选择40例患者为研究对象，分为M、N两组，M组为对照组，采用PFNA固定的方法治疗高龄股骨转子间骨折,N组为观察组，采用半髋关节置换的方法治疗高龄股骨转子间骨折。结果 N组患者的手术时间以及卧床时间少于M组,M组患者的手术中的出血量少于N组，N组患者的开始负重时间明显早于M组，N组患者的并发症发生率、死亡率以及手术失败率均低于M组(<0.05)，术后的第6个月，N组患者的髋关节的功能恢复状况优于M组(<0.05)。结论在治疗高龄股骨转子间骨折时，采用半髋关节置换的方法比PFNA固定治疗的方法更有优势，更利于患者的恢复。“,”Objective To explore the clinical effect of the treatment of the elderly femoral intertrochanteric fracture with the treatment of the femoral intertrochanteric fracture in the elderly patients with the semi hip replacement and PFNA.Methods 40 cases of patients were divided into M,N two groups,M group for the control group,the PFNA group was treated with N group,the observation group was treated with the method of semi hip replacement for the treatment of intertrochanteric fracture in aged patients.Results The operation time and bed time of N group was significantly less than that of M group,the bleeding volume of M group was significantly less than that of N group,the beginning of N group was significantly earlier than M group( <0.05),the recovery of hip function in group N was better than M group( <0.05).Conclusion In the treatment of intertrochanteric fractures in the elderly,the method of semi hip replacement is more advantageous than PFNA in the treatment of femoral intertrochanteric fractures.