标准骨水泥强化型PFNA与股骨头置换术治疗骨质疏松性不稳定性股骨粗隆间骨折疗效观察
DOI:
作者:
作者单位:

广西壮族自治区人民医院,广西壮族自治区人民医院,广西壮族自治区人民医院,广西壮族自治区人民医院

作者简介:

通讯作者:

中图分类号:

基金项目:

广西自治区卫康委自筹课题(Z20210331);


Standard cement augmentation of PFNA and femoral head replacement in the treatment of osteoporotic unstable femoral intertrochanteric fractures
Author:
Affiliation:

,,,

Fund Project:

广西自治区卫康委自筹课题(Z20210331);

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:回顾性分析标准骨水泥强化型PFNA与股骨头置换术在骨质疏松性不稳定型股骨粗隆间骨折的临床效果。 方法:回顾性分析从2016年6月至2021年6月在广西壮族自治区人民医院创伤外科采用标准骨水泥强化型PFNA与股骨头置换术对骨质疏松性不稳定型股骨粗隆间骨折治疗的患者;标准骨水泥强化型PFNA患者42例,股骨头置换患者57例。对比两组患者的一般资料、围手术期相关参数、不同随访时间的髋关节评分(Harris评分)、疼痛评分(VAS评分)。 结果: 两组患者的基本资料中年龄、性别、体重指数、Evans-Jense分型在两组比较中无统计学意义(P≥0.05);两组患者在围手术期相关参数的比较中,标准骨水泥强化型PFNA组的患者在围手术期失血、住院费用显著低于股骨头置换组的患者,有统计学意义(P≤0.05);两组患者在手术时间、术后下床时间无统计学意义(P≥0.05)。两组患者术中的术后随访Harris评分、VAS评分在两组比较中无统计学意义(P≥0.05) 结论:在骨质疏松性不稳定型股骨粗隆间骨折中,标准骨水泥强化型PFNA与股骨头置换术术后下床时间及髋关节功能效果相同;但标准骨水泥强化型PFNA术中出血少,住院费用低。

    Abstract:

    [Objective] To compare the clinical effects of standard cement augmentation of PFNA and femoral head replacement in osteoporotic unstable femoral intertrochanteric fractures. [Methods] Comparative analysis of patients with osteoporotic unstable intertrochanteric fracture treated with cement augmentation of PFNA and femoral head replacement in the Department of trauma surgery of Guangxi Zhuang Autonomous Region People's Hospital from June 2016 to June 2021; There were 42 patients with cement augmentation of PFNA and 57 patients with femoral head replacement. The general data, perioperative related parameters, hip score (Harris score) and pain score (VAS score) of the two groups were compared. [Results] There was no significant difference in age, sex, body mass index and Evans-Jense classification between the two groups (P ≥ 0.05); In the comparison of perioperative related parameters between the two groups, the perioperative blood loss and hospitalization expenses of patients in cement augmentation of PFNA group were significantly lower than those in femoral head replacement group (P ≤ 0.05); There was no significant difference in the operation time and postoperative out of bed time between the two groups (P ≥ 0.05). There was no significant difference in Harris score and VAS score between the two groups (P ≥ 0.05). [Conclusion] In osteoporotic unstable intertrochanteric fractures, the effect of cement augmentation of PFNA on getting out of bed time and hip function after femoral head replacement is the same; However, cement augmentation of PFNA has less bleeding and low hospitalization cost.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-10-08
  • 最后修改日期:2021-12-07
  • 录用日期:2022-03-30
  • 在线发布日期:
  • 出版日期: