Comparison of proximal femoral nail antirotation blade and reverse less invasive stabilization system-distal femur systems in the treatment of proximal femoral fractures.
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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DOI：
10.1111/j.1757-7861.2010.00118.x
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发表时间：
2011-02-01
影响因子：
2.1
通讯作者：
Wei, Xin
中科院分区：
文献类型：
--
作者：
Han, Ning;Sun, Gui-xin;Wei, Xin
目的：比较股骨近端防旋转钉（PFNA）与反向微创稳定系统-股骨远端（Liss-DF）系统治疗股骨近端骨折的效果。 方法：2007年6月至2009年10月，共治疗股骨近端骨折41例，其中PFNA 22例（A组），反向LISS-DF钢板19例（B组）。记录并比较开始完全负重的时间、骨折愈合时间、功能恢复情况（Parker和Palmer活动度评分）、与完整对侧髋关节的颈干角差异、术前美国麻醉医师协会（ASA）评分、手术时间和术中出血量。 结果：平均随访时间为11.2个月（范围10-12个月）。与A组相比，B组平均承受全身重量和骨折愈合时间更长，但颈干角度差异更小（均P < 0.05）。两组在ASA评分、手术时间、术中出血量以及Parker和Palmer活动度评分方面相似。结论：PFNA和反向Liss-DF治疗股骨近端骨折均满意，但各有优势。 PFNA 允许较早负重并加速骨折愈合。反向 Liss-DF 可以更有效地避免髋内翻，并且可能适用于患有非常严重的骨质疏松症的患者。
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.