摘要目的 对采用股骨近端防旋髓内钉(proximal femoral nail antirotation,PFNA)、动力髋螺钉(dynamic hip screw,DHS)和InterTan内固定方法治疗老年股骨转子间骨折的优缺点进行对比分析。方法 回顾性分析吴江区第一人民医院、上海交通大学附属第六人民医院于2010年11月至2016年3月收治的399例老年股骨转子间骨折患者的手术治疗和术后恢复情况,采用PFNA治疗165例,DHS治疗108例,InterTan治疗126例。分别对三种手术方法的术中出血量、手术时间、骨折愈合时间及术后并发症进行对比分析。参照Harris评分标准,对患者的手术疗效进行随访评估。结果 PFNA组及InterTan组较DHS组术中出血量少、手术时间短、骨折愈合时间短、术后并发症少(P<0.05)。术后PFNA组、DHS组及InterTan组疗效的Harris评分优良率分别为85.7%、81.6%和83.6%,三组比较差异均无统计学意义(P>0.05)。结论 三种内固定方法术后疗效均较好。但PFNA及InterTan髓内固定法与传统DHS法相比具有术中出血量少、手术时间短、骨折愈合时间短及术后并发症少等优势,对老年股骨转子间骨折患者更为适用。
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