| Objective To compare the clinical effects and safety of PF-LCP and PFNA in the treatment of elderly patients with femoral intertrochanteric fractures for Evans-Jensen IV~V type. Methods From Sep 2013 to Sep 2015, 60 elderly patients with femoral intertrochanteric fractures in our hospital for Evans-Jensen IV~V type were chosen and randomly divided into two groups, including PF-LCP group (30 patients) with PF-LCP and PFNA group (30 patients) with PFNA; and the operation time, intraoperative blood loss, fracture healing time, hospital staying time, the excellent and good rate of hip function recovery, postoperative Harris score and the complications incidence after operation of both groups were compared. Results The operation time and intraoperative blood loss of PFNA group were significantly better than those of PF-LCP group(P<0.05). There was no significant difference in fracture healing time and hospital staying time between the two groups(P>0.05).The excellent and good rates of hip function recovery of PFNA group were significantly higher than those of PF-LCP group(P<0.05). The Harris scores 1, 6, 12 months after operation of PFNA group were significantly higher than those PF-LCP group(P<0.05). The complication incidence after operation of PFNA group was significantly lower than that of PF-LCP group(P<0.05). Conclusion Compared with PF-LCP, PFNA in the treatment of elderly patients with femoral intertrochanteric fractures for[13]ALBERS J J, SLEE A, FLEG J L, et al.Relationship of baseline HDL subclasses, small dense LDL and LDL triglyceride to cardiovascular events in the AIM-HIGH clinical trial[J]. Atherosclerosis,2016, 251:454-459.[14]WU G H, KONG F Z, DONG X F, et al. Association between hyperhomocysteinemia and stroke with atherosclerosis and small artery occlusion depends on homocysteine metabolism-related vitamin levels in Chinese patients with normal renal function[J]. Metab Brain Dis, 2017, 32(3):859-865.[15]YE Z, ZHANG Z, ZHANG H, et al. Prognostic value of c-reactive protein and homocysteine in large-artery atherosclerotic stroke:a prospective observational study[J]. J Stroke Cerebrovasc Dis, 2017, 26(3):618-626. (2017-03-28收稿)Evans-Jensen IV~V type possess the advantages of being simple to operation, minimally invasive, and having better postoperative recovery effects of joint function and lower complications risk. |
