Khadem Mehryar, Torkaman Ali, Pisoudeh Karim, Bahari Milad, Torkaman Parsa
Department of Orthopedics, Kurdistan University of Medical Science, Kosar Hospital, Sanandaj.
Department of Orthopedics, Iran University of Medical Science, Firouzgar hospital, Tehran.
Eur J Transl Myol. 2022 May 12;32(2):10422. doi: 10.4081/ejtm.2022.10422.
The aim of this study was to evaluate the results of treatment of subtrochanteric femoral fracture in the use of proximal femoral locking compression plate (PFLCP) and proximal femoral nail antirotation (PFNA). This retrospective study was performed on patients who referred to Firoozgar Hospital in 2017 with subtrochanteric fracture. During follow-up, control radiographs were obtained from patients and the Harris Hip Score questionnaire was completed. Finally, the data were entered into Spss version 22 and then analyzed. A total of 56 patients were included in the study. Patients were divided into two treatment groups of 28: including groups with locking plate and nailing treatment. The results showed that the treatment was not significantly different in patients with subtrochanteric fractures who were treated with either intramedullary nailing or plate placement. There is no difference between the two groups in any of the parameters. The two groups were similar in terms of fracture classification, and finally no significant difference was found in terms of union findings. This study showed that clinical and imaging findings are not significantly different between the two groups of patients with subtrochanteric fracture who are treated with nailing or plate placement.
本研究的目的是评估使用股骨近端锁定加压钢板（PFLCP）和股骨近端抗旋髓内钉（PFNA）治疗股骨转子下骨折的结果。本回顾性研究针对2017年因转子下骨折转诊至菲罗兹加尔医院的患者进行。在随访期间，获取患者的对照X光片并完成Harris髋关节评分问卷。最后，将数据录入Spss 22版软件并进行分析。本研究共纳入56例患者。患者被分为两个治疗组，每组28例：包括锁定钢板组和髓内钉治疗组。结果显示，采用髓内钉固定或钢板置入治疗的转子下骨折患者，治疗效果无显著差异。两组在任何参数上均无差异。两组在骨折分类方面相似，最终在骨折愈合结果方面未发现显著差异。本研究表明，采用髓内钉固定或钢板置入治疗的两组转子下骨折患者，其临床和影像学结果无显著差异。
