摘要
目的:探讨应用股骨近端抗旋髓内钉(PFNA)治疗老年人股骨转子间骨折的临床疗效。方法:2007年1月～2009年6月应用PFNA治疗老年不稳定股骨转子间骨折26例,骨折按AO分型,31.A2:15例,31.A311例。结果:24例患者获得随访,随访时间8～26个月,平均14.1个月;24例患者均获得1期骨性愈合.愈合时间为12～26周,平均16.4周。髋关节功能按Sanders评分标准评价:优18例,良4例,可2例,差0例,优良率91.7%。结论:对于老年人不稳定型股骨转子间骨折,PFNA具有操作简单、创伤小、骨折固定牢固、并发症少及术后患者可早期离床负重等优点,是一种治疗股骨转子间骨折较为的理想方法。
Objective：To investigate the clinical effects of PFNA in treatment of intertrochanteric fractures.Methods：Twenty-six elderly patients who had received PFNA treatment of intertrochanteric fracture in our hospital between January 2007 to June 2009 were involved in our retrospective investigation.By AO classification,there were 15 cases of type 31.A2 and 11cases of type 31.A3.Results：Of all the patients,24 patients were followed up for 12 to 26 months,mean,14.1 months.All patients got primary healing,with healing time from 12 to 26 weeks,mean,16.4 weeks.According to Sanders standard,the functions of hip joints were excellent in 18 cases,good in 4 cases,may in 2cases and poor in 0 case（excellent rate：91.7%）.Conclusion：PFNA treatment of elderly intertrochanteric fractures with a minimally invasive,simple operation,biological fixation,less complications,can be an ealy postoperative functional exercise,is the treatment of elderly patients with intertrochanteric fractures as a good way.
出处
《中国伤残医学》
2011年第7期15-16,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
股骨近端抗旋髓内钉
股骨转子间骨折
高龄患者
Proximal femoral nail anti-rotation
PFNA
Intertrochanteric femoral fractures
Elderly patients
