摘要
目的探讨股骨近端钉(proximal femoral nail, PFN) 治疗老年股骨粗隆间骨折的疗效. 方法 2001年10月～2003年9月,采用PFN治疗老年股骨粗隆间骨折患者62例,其中男42例,女20例.年龄60～92岁,平均67.3岁.均在伤后1周内施行手术.记录每例患者的手术时间、术中出血量、术中并发症、术后切口引流量、术后并发症、骨折愈合时间及髋关节功能评分等相关数据,并与文献进行比较,对该治疗方法进行评价. 结果术后均随访8～22个月,平均13.6个月.2例发生术中股骨粗隆骨折部再骨折,2例术后分别死于脑栓塞和肺部感染,2例发生异位骨化,1例发生髋内翻,1例发生股骨头过度前倾,其余患者皆获满意疗效.手术时间76.5±29.1 min,术中平均出血量385.7±98.4 ml,术后切口引流量45.5±21.7 ml,骨折愈合时间13.2±3.8周;参照 Sanders髋关节创伤后的功能评分标准,术后髋关节功能恢复优良率达89.6%. 结论 PFN具有手术时间短、出血少且固定牢靠的优点,适用于老年股骨粗隆间骨折的治疗.
Objective To investigate the effect of treatment with proximal femoral nail （PFN） on femur intertrochanteric fractures in the old. Methods A retrospective study of 62 patients with femur intertrochanteric fractures treated with PFN from October 2001 to September 2003 was carried out. The data of operative time, blood loss, intraoperative complications, wound drainage, postoperative complications, healing time, and hip function were recorded and compared with previous literature so as to evaluate the effect. Results All patients were followed up for 8-22 month（13.6 months on average）. Intraoperative fracture occurred again in 2 cases. Two patients died of brain embolism and pulmonary infection respectively. Heterogeneous ossification occurred in 2 cases. Hip varus occurred in 1 case. Extra hip anteversion occurred in 1 case. The effect of other cases was satisfactory. The operative time was 76.5±29.1min, the mean blood loss was 385.7±98.4 ml, the wound drainage was 45.5±21.7 ml, and the healing time was 13.2±3.8 weeks. According to the Sanders post trauma hip function assessing system, the excellent and good rate was 89.6%. Conclusion The application of PFN is characterized by short operative time, less blood loss, stable fixation, so it is an effective way to treat femur intertrochanteric fracture in the old.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2005年第9期740-742,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
股骨近端钉
股骨粗隆间骨折
老年人
Proximal femoral nail Femur intertrochanteric fracture The old
