摘要
目的评价PFNA治疗老年股骨粗隆间骨折的疗效。方法2006年3月至2008年12月收治的70岁以上且获得6～18个月随访的采用PFNA内固定治疗股骨粗隆间骨折患者36例。男性10例,女性26例;年龄70～89岁,平均76.2岁。17例患者并存1种内科疾病,19例并存2种或以上的内科疾病。术前内科联合诊治共存疾病。所有病例均采用闭合复位PFNA内固定。结果本组无死亡病例。术后7例病情不稳定,转入外科重症监护室,平均16h。出现并发症4例次,经对症及内科联合处理后好转。随访6～18个月,所有患者骨折全部愈合,愈合时间8～22周,平均21周;Harris评分83～96分,平均90.1分。结论PFNA具有操作简便、手术时间短、出血量少的特点,尤其是对并存骨质疏松的股骨粗隆间骨折患者理想的治疗方法。老年患者在积极控制共存疾病的基础上,采用该手术方法可获得较好的临床疗效。
Objective To analyze the therupictic effects of treatment with proximal femoral nail antirotation（PFNA） in senile people with intertrochanteric fractures of femur. Methods From March 2006 to December 2008,a retrospective analysis on PFNA treatment of 36 cases interlrochanteric fractures of femur.There were 10 males,26 females aging from 70--89 years（mean,76.2 years）. 17 eases concomitanled one kind of morbus internus, 19 cases concomitanted at least 2 kinds of morbus internus. During pre--operation,we associated with medical department treatment of concomitant diseases. All cases treated with PFNA in dose reduction. Results No death cases occurred during pert--operation.7 cases were transferred to surgical intensive care unit for their unstable pathogenetic condition, average 16h.4 cases occurred complications after operation and recovered by symptomatic treatment. Almost all fractures showed union within 8--22 weeks,average 21 weeks. Harris score were 83--96,average 90.l.Conclusion PFNA with characteristic of easily manufacture,short operating time and minimal blood loss in treatment of senile people with intertrochanteric fracture of femur, particularly comminuted and with underlying osteoporotic bone. On bases of controlling concomitant disease,PFNA is sensible choice of implant in treatment of intertrochanteric fractures of femur and gained satisfactory therapeutic effect. Senile People
出处
《中外医疗》
2009年第28期16-17,19,共3页
China & Foreign Medical Treatment
关键词
PFNA
粗隆间骨折
老年
Proximal Femoral Nail antirotation^lntertrochanteric Fractures
