CAJ | 학술논문

目的评价防旋型股骨近端髓内钉(PFNa)治疗股骨粗隆间骨折的疗效.方法采用PFNa治疗股骨粗隆间骨折272例,统计手术时间、术中出血量及骨折愈合时间,随访6个月后按Harris评分评价髋关节功能.结果手术时间35～95 min,平均55 min；术中出血量20 ～200 ml,平均85 ml.术后随访时间6～36个月,平均15.6个月,平均骨折愈合时间14.5周,患髋关节活动功能良好.结论应用PFNa操作简单,适合微创操作,刨伤少,内固定可靠,是一种治疗股骨粗隆间骨折特别是不稳定性骨折理想的内固定方法.
목적 평개방선형고골근단수내정(PFNa)치료고골조륭간골절적료효.방법 채용PFNa치료고골조륭간골절272례,통계수술시간、술중출혈량급골절유합시간,수방6개월후안Harris평분평개관관절공능.결과 수술시간35～95 min,평균55 min；술중출혈량20 ～200 ml,평균85 ml.술후수방시간6～36개월,평균15.6개월,평균골절유합시간14.5주,환관관절활동공능량호.결론 응용PFNa조작간단,괄합미창조작,포상소,내고정가고,시일충치료고골조륭간골절특별시불은정성골절이상적내고정방법.
Objective To explore the effect of the proximal femoral nail antirotation(PFNa) for the treatment of femoral intertrochanteric fracture.Methods 272 consecutive patients with femoral intertrochanteric fracture were treated with PFNa.Results The mean operative time was 55min(range 35 ～95)min.The mean blood loss was 85ml (range:20 ～200)ml.The mean follow-up was 15.6months( range:6 ～36)monthsand achieved bone healing with an average time of 14.5weeks.According to the Harris criterion for evaluation.Conclusion PFNa was more comfortable for human's biomechanism and more favorable for the healing of the fracture as well as the recovery of the hip function.It had the advantage of simple manipulation,fewer trauma,strong fixation,anti-rotation,less osclerotin.PFNa was an ideal treatment for intertrochanteric fracture,specially the unstable intertrochanteric fracture and senile osteoporosis.