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首页> 外文期刊>International Research Journal of Medical Sciences >Proximal Femoral Nail versus Dynamic Hip Screw Fixation for Intertrochantreric Hip Fractures AO Types A2 and A3 in Patients above Sixty Years Old: A Prospective Comparative Randomized Controlled Trials
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Proximal Femoral Nail versus Dynamic Hip Screw Fixation for Intertrochantreric Hip Fractures AO Types A2 and A3 in Patients above Sixty Years Old: A Prospective Comparative Randomized Controlled Trials

机译：六十岁以上患者股骨近端钉与动力髋螺钉固定治疗股骨转子间髋关节骨折A2和A3型的比较：前瞻性比较随机对照试验

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摘要

The point of this study is to think about the treatment and results of temperamental intertrochantric hip cracks AO sorts 31A2 and 31A3 treated by element hip screw (DHS) versus proximal femoral nail (PFN). An imminent randomized and near study was directed on eighty four patients (52 guys (61.9%), 32 females (38.1%)) from March 2011 - March 2013. Out of 84 cases, 40 patients treated with DHS (bunch An) and 44 patients were treat with PFN (bunch B). In this study, greatest age was 92 years and least of 60 years with a normal of 72.1 years. Compared to DHS obsession, PFN obsession had lesser operation time, less blood misfortune watched and the patients were prepared to do early assembly with less healing center stay and lesser rates of insert disappointments (p<0.05), be that as it may, DHS patients indicates speedier union rates long haul follow up as Harris score following one year was comparative in both gatherings. PFN gives more steady obsession to precarious intertrochentric breaks extraordinarily AO sort 31A3 and has more good transient results in type of less technique length of time, blood misfortune and insert disappointments, additionally anticipates neck shortening that is usually seen with DHS obsession.
机译：本研究的重点是考虑用元素髋螺钉（DHS）相对于股骨近端钉（PFN）治疗的气质性股骨转子间髋部裂纹AO类别31A2和31A3的治疗和结果。从2011年3月至2013年3月，一项即将进行的随机，近距离研究针对了84位患者（52位男性（61.9％），32位女性（38.1％））。在84例患者中，有40例接受了DHS治疗（Bunch An）和44例患者接受PFN治疗（B组）。在这项研究中，最大年龄为92岁，最小年龄为60岁，正常年龄为72.1岁。与DHS痴呆相比，PFN痴呆的手术时间更短，观察到的血运失误更少，并且患者可以进行早期组装，而其康复中心停留时间更少，插入物的失望率也较低（p <0.05），无论是DHS患者表示长期随访的工会率更快，因为两次聚会的一年后哈里斯得分比较。 PFN对不稳定的股骨转子间断裂异常稳定地产生了更稳定的困扰，特别是AO类31A3，并且在较少的技术时间，血液变幻和插入物失望的类型方面具有更好的短暂结果，此外还预期了DHS困扰通常会导致的颈部缩短。

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