摘要
目的探讨防旋型股骨近端髓内钉治疗老年股骨粗隆间骨折的效果。方法对本院2012年1月至2016年2月收治的80例老年（70岁以上）的股骨粗隆间骨折患者进行回顾性分析，根据骨折AO分型：A1型15例，A2型49例，A3型16例。观察患者术后治疗效果。结果术后对患者进行6～36个月（平均18个月）的随访，骨折一期愈合，无手术后再骨折，无内固定切割、髋内翻，主钉断裂及螺旋刀片退出。末次随访评定髋关节功能harris评分：优61例，良16例，可3例，优良率96.3％。结论PFNA治疗股骨粗隆间骨折创伤小、愈合快，临床治疗效果显著。
Objective To investigate the effect of preventive spiral intramedullary pin proximal femur in the minimally invasive treatment of intertrochanteric fracture of femur in old age. Methods 80 elderly patients （over 70 years old ） with intertrochanteric fracture of femur were retrospectively investigated from January, 2012 to February, 2016. According to AO typing of intertrochanteric fracture of femur, 15 cases were A1 type, 49 A2, and 16 A3. All the patients＇ results were investigated. Results All the patients were followed up 6-36 months （average 18 months）. The results showed that all the patients got primary healing and no case got refracture, internal fixation cutting, coax vara, main nail breakage, or screw blade disengaging. According to Harris Score of hip joint clinical criteria, 61 hips were classified as excellent, 16 hips good, and 3 hips fair. The excellent and good rate was 96.3%. Conclusions Preventive spiral intramedullary pin proximal femur in the minimally invasive treatment of intertrochanteric fracture of femur in old age is minimally invasive and clinically effective and can speed the patients＇ healing up.
出处
《国际医药卫生导报》
2016年第16期2492-2493,2522,共3页
International Medicine and Health Guidance News
关键词
微创
髓内钉
股骨
粗隆间骨折
螺旋刀片
Minimally invasive
Intramedullary pin
Femur
Intertrochanteric fracture
Spiral blade
