关键词: 股骨转子间骨折, 动力髋螺钉(DHS), 股骨近端髓内钉(PFNA), 人工股骨头置换术(FHR)

Abstract: 【Abstract】〓Objective〓To evaluate the curative effect of dynamic hip screw(DHS), proximal femoral nail antirotation (PFNA) and femoral head replacement (FHR) in the treatment of senile patients with intertrochanteric fractures. Methods〓Fifty-eight senile patient with intertrochanteric fractures in our hospital from March 2008 to January 2013 were divided into three groups: DHS group (n=25, treated with DHS), PFNA group (n=11, treated with PFNA), FHR (n=22, treated with FHR). The operation time,mean intraoperative blood loss,function exercise time and the Harris hip function scores were observed. Results〓In follow-up period of 8-18 months,mean intraoperative blood loss of PFNA group was less than any other groups. The operation time,functional exercise time, the Harris hip function scores of PFNA group and FHR group was superior to the DHS group (P<0.05). Conclusion Both PFNA and FHR have good clinic efficacy in the treatment of intertrochanteric fractures. Compared FHR with PFNA which have advantage of less mean intraoperative blood loss and lower trauma.

Key words: Intertrochanteric fractures, Dynamic hip screw (DHS), Proximal femoral nail antirotation (PFNA), Femoral head replacement (FHR)