改良股骨髓内钉与动力髋螺钉治疗股骨转子间骨折的临床疗效观察

doi:10.3969/j.issn.1005-6483.20250105

临床外科杂志 ›› 2026, Vol. 34 ›› Issue (2): 205-208.doi: 10.3969/j.issn.1005-6483.20250105

改良股骨髓内钉与动力髋螺钉治疗股骨转子间骨折的临床疗效观察

726000 陕西商洛，商洛市中心医院关节外科（柯贤鹏、王立松、王鹏斌、王琦），创伤骨科（陈星晨）

收稿日期:2025-02-07 接受日期:2025-02-07 出版日期:2026-02-25 发布日期:2026-02-25
通讯作者: 陈星晨,Email:18391978862@163.com

A comparative study of modified femoral bone marrow nail and dynamic hip screw in the treatment of femoral intertrochanteric fracture

Department of Joint Surgery,Shangluo Central Hospital,Shaanxi,Shangluo 726000,China

Received:2025-02-07 Accepted:2025-02-07 Online:2026-02-25 Published:2026-02-25

摘要/Abstract

摘要： 目的观察改良股骨髓内钉（PFNA)、动力髋螺钉（DHS）对股骨转子间骨折病人围术期指标、关节功能和预后的影响。方法 2020年1月～2024年1月收治的股骨转子间骨折病人74例，按照治疗方法不同分成对照组和观察组两组，每组各37例。对照组采用DHS手术治疗，观察组采用PFNA手术治疗，比较两组病人围术期指标、关节功能、骨折复位质量以及预后情况。结果观察组病人手术切口长度（5.04±1.07）cm、手术时间（50.69±10.54）分钟、术中出血量（138.36±20.15）ml、术后引流量（43.16±10.85）ml，对照组分别为（9.58±1.42）cm、（66.71±13.86）分钟、（251.82±40.62）ml、（100.73±18.46）ml，两组比较差异有统计学意义（P<0.05）。两组骨折愈合时间比较，差异无统计学意义（P>0.05）。术后7天时，观察组HHS评分为（51.58±9.34）分，高于对照组的（48.31±8.76）分，差异有统计学意义（P<0.05）。两组病人术前与术后3个月、6个月时HHS评分比较，差异无统计学意义（P>0.05）。两组骨折复位质量比较，差异无统计学意义（P>0.05）。对照组并发症总发生率为29.73%，高于观察组的10.81%，差异有统计学意义（P<0.05）。结论对股骨转子间骨折病人使用改良股骨髓内钉治疗与应用DHS治疗均能有效恢复关节功能，骨折愈合与复位质量均较好，但改良股骨髓内钉围术期指标更好，并发症风险更低。

关键词: 股骨转子间骨折, 改良股骨髓内钉, 动力髋螺钉, 关节功能, 预后

Abstract: Objective To observe the effects of modified femoral intramedullary nail and dynamic hip screw (DHS) on perioperative indicators,joint function and prognosis in patients with femoral intertrochanteric fracture.Methods A total of 74 patients with femoral intertrochanteric fracture who underwent surgical treatment in the Shangluo Central Hospital from January 2020 to January 2024 were selected and divided into the control group and the observation group according to different treatment methods,with 37 cases in each group.The control group was treated with DHS and the observation group was treated with modified femoral intramedullary nail.The perioperative indicators,joint function,fracture reduction quality and prognosis were compared between the two groups.〖WTHZ〗Results〓〖WTBZ〗The surgical incision length [(5.04±1.07) cm],surgical time [(50.69±10.54) min],intraoperative blood loss [(138.36±20.15) ml],and postoperative drainage volume [(43.16±10.85) ml] in the observation group were significantly lower than those in the control group[（9.58±1.42）cm,（66.71±13.86）min,（251.82±40.62）ml and（100.73±18.46）ml] (P<0.05).Fracture healing time of the two groups was close (P>0.05).At 7 days after surgery,the HHS score of the observation group was significantly higher [(51.58±9.34)score] than that of the control group [(48.3±8.76) score](P<0.05),while there was no significant difference in HHS scores between the two groups before and at 3 and 6 months postoperatively (P>0.05).Comparison of fracture reduction quality between the two groups showed no statistically significant difference (P>0.05).The total incidence of complications in the observation group(10.81%) was significantly lower than that in the control group(29.73%) (P<0.05).〖WTHZ〗Conclusion〓〖WTBZ〗The use of modified femoral intramedullary nails and the application of DHS in the treatment of intertrochanteric fractures of the femur can effectively restore joint function,and the quality of fracture healing and reduction is good.However,the perioperative indicators of modified femoral intramedullary nails are better and the risk of complications is lower.

Key words: femoral intertrochanteric fracture, modified femoral intramedullary nail, dynamic hip screw, joint function, prognosis

柯贤鹏王立松王鹏斌王琦陈星晨. 改良股骨髓内钉与动力髋螺钉治疗股骨转子间骨折的临床疗效观察[J]. 临床外科杂志, 2026, 34(2): 205-208.

KE Xianpeng, WANG Lisong, WANG Pengbin, WANG Qi, CHEN Xingchen. A comparative study of modified femoral bone marrow nail and dynamic hip screw in the treatment of femoral intertrochanteric fracture[J]. JOURNAL OF CLINICAL SURGERY, 2026, 34(2): 205-208.

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改良股骨髓内钉与动力髋螺钉治疗股骨转子间骨折的临床疗效观察

A comparative study of modified femoral bone marrow nail and dynamic hip screw in the treatment of femoral intertrochanteric fracture

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