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首页> 美国卫生研究院文献>Orthopaedic Surgery >Comparison of proximal femoral nail antirotation blade and reverse less invasive stabilization system‐distal femur systems in the treatment of proximal femoral fractures
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Comparison of proximal femoral nail antirotation blade and reverse less invasive stabilization system‐distal femur systems in the treatment of proximal femoral fractures

机译：股骨近端抗旋转刀片与反向微创稳定系统-远端股骨系统治疗股骨近端骨折的比较

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>Objective:  To compare the effects of proximal femoral nail antirotation blade (PFNA) and reverse less invasive stabilization system‐distal femur (Liss‐DF) systems in the treatment of proximal femoral fractures. >Methods:  Between June 2007 and October 2009, 41 proximal femoral fractures were treated, 22 with PFNA (group A) and 19 with reverse LISS‐DF plates (group B). The time to starting full weight‐bearing, fracture healing time, functional recovery (Parker and Palmer mobility score), neck‐shaft angle discrepancies with the intact contralateral hip, preoperative American Society of Anesthesiologists (ASA) scores, the operation durations and amount of intraoperative bleeding were recorded and compared. >Results:  The mean follow‐up period was 11.2 months (range, 10–12 months). Compared with Group A, Group B showed a statistically longer mean time to bear full body weight and heal their fractures, but a smaller neck‐shaft angle discrepancy (all P < 0.05). The groups were similar in ASA score, operation duration, amount of intraoperative bleeding and Parker and Palmer mobility score. >Conclusion:  Both PFNA and reverse Liss‐DF were satisfactory for the treatment of proximal femoral fractures, but had different advantages. PFNA allowed earlier weight‐bearing and accelerated fracture healing. Reverse Liss‐DF more effectively avoided coxa vara and may be indicated for patients with very severe osteoporosis.
机译：>目的：比较股骨近端钉防旋转刀片（PFNA）和反向微创稳定系统-股骨远端（Liss-DF）系统在股骨近端骨折治疗中的效果。 >方法：在2007年6月至2009年10月之间，共治疗了41例股骨近端骨折，其中22例行PFNA（A组），19例行反向LISS-DF钢板（B组）。开始完全负重的时间，骨折愈合时间，功能恢复（Parker和Palmer活动度评分），颈对侧角与完整对侧髋关节的差异，术前美国麻醉医师学会（ASA）评分，手术持续时间和手术量记录并比较术中出血情况。 >结果：：平均随访时间为11.2个月（范围10到12个月）。与A组相比，B组在承受全部体重和治愈骨折方面具有统计学上更长的平均时间，但颈轴角度差异较小（所有P <0.05）。这些组的ASA评分，手术时间，术中出血量以及Parker和Palmer活动性评分相似。 >结论： PFNA和反向Liss-DF均可治疗股骨近端骨折，但具有不同的优势。 PFNA可以更早地承重并加速骨折愈合。反向Liss-DF更有效地避免了Coxa vara，可能适用于非常严重的骨质疏松症患者。

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