摘要
目的:评价防旋股骨近端髓内钉(PFNA)手术治疗老年不稳定型股骨粗隆间骨折的临床疗效。方法:回顾性分析我院骨科收治的48例老年不稳定型股骨粗隆间骨折患者的临床资料,所有患者均行防旋股骨近端髓内钉(PFNA)手术治疗,观察患者的临床疗效及手术相关并发症情况。结果:所有患者手术均成功,术后随访结果表明患者Harris评分(90.8±1.9)分,疗效优良率为91.7%。随访期内未出现手术相关并发症,骨折平均愈合时间为(14.3±1.1)周。结论:防旋股骨近端髓内钉手术治疗老年不稳定型股骨粗隆间骨折的疗效可靠,安全性高,对于改善患者的关节功能具有重要意义。
To evaluate the clinical efficacy of proximal femoral nail anti rotation （PFNA） in the treatment of unstable intertrochanteric fractures in the elderly. Methods： the clinical data of 48 patients with unstable intertrochanteric fracture of the femur in the Department of orthopedics of our hospital were analyzed retrospectively. All the patients were treated with PFNA. The clinical efficacy and complications of the patients were observed. Results： all the operations were successful. Postoperative follow-up showed that the Harris score of the patients was （90.8±1.9）, and the excellent and good rate was 91.7%. No operative complications occurred during the follow-up period. The average healing time of fracture was （14.3 ± 1.1） weeks. Conclusion： the treatment of the unstable intertrochanteric fracture of the aged femoral intertrochanteric fracture with anti rotation femoral proximal,intramedullary nail is reliable and safe, which is of great significance for the improvement of the joint function of the patients.
作者
王海生
林峰
魏均强
胡文山
Wang Haisheng;Lin Feng;Wei Junqiang;Hu Wenshan(Hainan branch of PLA General Hospital, Sanya Hainan, 572013)
关键词
不稳定型股骨粗隆间骨折
老年
防旋股骨近端髓內钉
临床疗效
unstable intertrochanteric fracture
elderly
proximal femoral nail anti rotation
clinical efficacy
