摘要
目的:探讨经皮钢丝环扎联合加长PFNA治疗粗隆下骨折的安全性和临床疗效。方法:回顾性分析2011年2月-2014年3月治疗的21例股骨粗隆下骨折患者,所有患者先采用小切口C形钢丝导引器导引,使用钢丝环扎维持骨折对位,再使用加长PFNA固定,术后X线评估骨折对位对线情况,术后并发症,患肢功能恢复情况,以及骨折愈合时间,尤其是骨折延迟愈合和骨不连病例。结果:本组术后X线片显示21例骨折端获得良好复位。术后所有患者获得10~25个月随访,平均13个月,未发现骨折不愈合和延迟愈合病例,未发现感染病例,末次随访按髋关节Harris功能评分:优16例,良3例,可2例,优良率为91%。结论:钢丝环扎操作安全、简单,能有效维持骨折复位,不影响骨折愈合,是治疗股骨粗隆下骨折的良好方法。
Objective:To explore the safety and curative effect of percutaneous wire cerclage plus lengthen PFNA on subtrochanteric fracture.Methods:21cases from February2011to March2014were retrospectively analyzed,and received small incision C-shaped wire guide;wire ring was used to maintain fracture alignment;then the extended PFNA fixed was carried out.Results:21cases were well reset after X-ray.All patients were followed up for10to25months,with an average of13months,showed no recurrence,delayed healing cases and infection cases.In the last followed-up,there was excellent in16cases,good in3cases,effective in2cases,and91%of excellent by hip Harris function scores.Conclusion:Percutaneous wire cerclage was safe and simple method to maintain the fracture reduction and does not affect the healing of the fracture,is good to treat the fracture of the femur.
出处
《中医临床研究》
2017年第28期122-124,共3页
Clinical Journal Of Chinese Medicine
