LIU Qianxing, HE Dizhen. Effect of percutaneous anti-rotation of the proximal femoral nail internal fixation on hip joint function and quality of life in elderly patients with intertrochanteric fracture[J]. Journal of Clinical Medicine in Practice, 2019, 23(21): 88-91. DOI: 10.7619/jcmp.201921025
Citation: LIU Qianxing, HE Dizhen. Effect of percutaneous anti-rotation of the proximal femoral nail internal fixation on hip joint function and quality of life in elderly patients with intertrochanteric fracture[J]. Journal of Clinical Medicine in Practice, 2019, 23(21): 88-91. DOI: 10.7619/jcmp.201921025

Effect of percutaneous anti-rotation of the proximal femoral nail internal fixation on hip joint function and quality of life in elderly patients with intertrochanteric fracture

More Information
  • Received Date: July 27, 2019
  • Accepted Date: September 14, 2019
  • Available Online: February 28, 2021
  • Published Date: November 14, 2019
  •   Objective  To analyze effect of percutaneous anti-rotation of the proximal femoral nail(PFNA) internal fixation on hip joint function and quality of life in elderly patients with intertrochanteric fracture.
      Methods  A total of 92 patients with femoral intertrochanteric fracture admitted to our hospital were enrolled in the study, and were divided into two groups by different surgeries. The patients in the control group(n=46) were treated with internal fixation of dynamic hip screw (DHS), and those in the experimental group(n=46) were treated with percutaneous PFNA. The excellent rate of hip function and surgical index were compared between the two groups. Quality scores of two groups before and after 3-month treatment during 3-month follow-up was compared.
      Results  The excellent rate of hip function in the experimental group was significantly higher than that in the control group (95.65% vs. 69.57%, P<0.05). The operation, the time of bed-off, the length of hospital stay and the length of the incision were significantly shorter in the experimental group than in the control group(P<0.05). The quality of life score of the experimental group after 3 months of treatment were significantly higher than that in the control group(P<0.05).
      Conclusion  Percutaneous PFNA internal fixation has higher excellent rate, can promote the early postoperative bed-off activity, and improve quality of life and prognosis for elderly patients with femoral intertrochanteric fractures.
  • [1]
    高金华, 王明洋, 顾文浩, 等. 经皮撬拨复位PFNA内固定和股骨近端解剖锁定板内固定治疗老年不稳定股骨粗隆间骨折的疗效比较[J]. 中国骨与关节损伤杂志, 2017, 32(6): 619-620. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201706019.htm
    [2]
    蒋继亮, 童梁成, 龚永良, 等. PFNA和DHS内固定治疗老年股骨粗隆间稳定骨折的疗效分析[J]. 中国骨与关节损伤杂志, 2016, 31(6): 635-636. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201606024.htm
    [3]
    赖福生. PFNA与动力髋螺钉在Jensen Ⅰ~Ⅲ型股骨粗隆间骨折的疗效对比分析[J]. 湖北科技学院学报: 医学版, 2018, 32(1): 35-37. doi: 10.3969/j.issn.1006-5342.2018.01.008
    [4]
    安徽省股骨颈骨折分级诊疗指南编写组. 安徽省股骨颈骨折分级诊疗指南(2015年版)[J]. 安徽医学, 2016, 37(1): 5-13. doi: 10.3969/j.issn.1000-0399.2016.01.002
    [5]
    李小伟, 胡继平, 刘聪, 等. PFNA内固定治疗外侧壁危险型股骨粗隆间骨折的体会[J]. 中国骨与关节损伤杂志, 2016, 31(10): 1078-1079. doi: 10.7531/j.issn.1672-9935.2016.10.026
    [6]
    徐风瑞, 何明武, 姚忠军, 等. PFNA内固定与人工股骨头置换术治疗高龄骨质疏松性股骨粗隆间骨折的比较[J]. 中国骨与关节损伤杂志, 2016, 31(2): 130-133. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201602007.htm
    [7]
    李奕标, 蔡瑞歆, 程培楷, 等. 人工双动股骨头置换与PFNA内固定治疗高龄股骨粗隆间骨折[J]. 局解手术学杂志, 2016, 25(9): 680-683. https://www.cnki.com.cn/Article/CJFDTOTAL-JJXZ201609017.htm
    [8]
    李赫, 顾海伦, 任德新, 等. APFN与PFNA内固定治疗老年股骨粗隆间骨折的疗效比较[J]. 中国骨与关节损伤杂志, 2018, 33(2): 134-137. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201802009.htm
    [9]
    刘利, 仝路, 刘振武, 等. 2种牵引方式在闭合复位PFNA内固定治疗股骨粗隆间及粗隆下骨折临床指标的比较[J]. 中国骨与关节损伤杂志, 2017, 32(12): 1237-1240. doi: 10.7531/j.issn.1672-9935.2017.12.002
    [10]
    曹兴兵, 孙继芾, 许腊梅, 等. PFNA治疗股骨粗隆间骨折内固定失败的多因素分析[J]. 中国骨与关节损伤杂志, 2016, 31(10): 1034-1038. doi: 10.7531/j.issn.1672-9935.2016.10.008
    [11]
    戚文元, 黄晓东, 张超群. 不同内固定手术治疗老年股骨粗隆间骨折的临床对照研究[J]. 创伤外科杂志, 2018, 20(12): 923-925. doi: 10.3969/j.issn.1009-4237.2018.12.013
    [12]
    仇赛, 季晓娟, 汤伯仁, 等. PFNA与DHS内固定治疗股骨粗隆间骨折的比较[J]. 中国矫形外科杂志, 2018, 26(16): 1468-1471. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS201816007.htm
    [13]
    唐长友, 陈松, 贺健军, 等. PFNA内固定与人工股骨头置换治疗高龄不稳定股骨粗隆间骨折的临床对比研究[J]. 中国骨与关节损伤杂志, 2017, 32(2): 196-197. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201702027.htm
    [14]
    周晓波. PFNA内固定术治疗老年股骨粗隆间骨折61例[J]. 陕西医学杂志, 2016, 45(3): 345-346. doi: 10.3969/j.issn.1000-7377.2016.03.036
    [15]
    王煜, 李志君, 郑玉鹏, 等. PFNA内固定治疗老年骨质疏松性股骨粗隆间骨折的疗效分析[J]. 生物骨科材料与临床研究, 2017, 14(4): 20-23. doi: 10.3969/j.issn.1672-5972.2017.04.005
    [16]
    顾军, 冯晓军, 华荣, 等. 人工股骨头置换与PFNA内固定治疗高龄骨质疏松性股骨粗隆间骨折的疗效[J]. 江苏医药, 2017, 43(11): 797-799. https://www.cnki.com.cn/Article/CJFDTOTAL-YIYA201711013.htm
    [17]
    陈昱, 徐杰, 周仕国, 等. PFNA内固定联合唑来膦酸治疗老年股骨粗隆间骨折的疗效观察[J]. 中国骨与关节损伤杂志, 2016, 31(2): 186-187. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201602028.htm
    [18]
    聂治军, 常彦海. 加长柄人工股骨头置换术与PFNA内固定治疗高龄不稳定股骨粗隆间骨折的比较研究[J]. 中国骨与关节损伤杂志, 2017, 32(3): 248-251. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS201703007.htm
    [19]
    谈中文. PFNA与PCCP治疗股骨粗隆间骨折的疗效比较[J]. 中南医学科学杂志, 2016, 44(1): 57-59. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYY201601015.htm
    [20]
    费国策, 许立新, 张斌, 等. 人工关节置换和PFNA内固定治疗老年股骨粗隆间骨折对比研究[J]. 陕西医学杂志, 2016, 45(10): 1338-1339. doi: 10.3969/j.issn.1000-7377.2016.10.028

Catalog

    Article views PDF downloads Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return