中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2013年
9期
884-887
,共4页
闭合复位内固定%防旋股骨近端髓内钉%股骨粗隆间骨折%老年人
閉閤複位內固定%防鏇股骨近耑髓內釘%股骨粗隆間骨摺%老年人
폐합복위내고정%방선고골근단수내정%고골조륭간골절%노년인
Closed reduction and internal fixation%Proximal femoral nail anti-rotation%Femoral inertro-chanteric fracture%Elderly
目的探讨防旋股骨近端髓内钉（PFN-A）内固定治疗老年股骨粗隆间骨折的效果。方法对C臂透视下闭合复位PFN-A内固定治疗老年股骨粗隆间骨折12例的疗效进行回顾性分析。结果经随访6～12个月，12例骨折全部愈合，平均愈合时间5个月。按髋关节Harris法评分标准，髋关节功能优7例，良4例，可1例，关节功能优良率为91.7％。结论闭合复位PFN-A内固定治疗老年股骨粗隆间骨折具有手术创伤小、操作简单、固定牢靠、并发症少等优点，值得临床推广应用。
目的探討防鏇股骨近耑髓內釘（PFN-A）內固定治療老年股骨粗隆間骨摺的效果。方法對C臂透視下閉閤複位PFN-A內固定治療老年股骨粗隆間骨摺12例的療效進行迴顧性分析。結果經隨訪6～12箇月，12例骨摺全部愈閤，平均愈閤時間5箇月。按髖關節Harris法評分標準，髖關節功能優7例，良4例，可1例，關節功能優良率為91.7％。結論閉閤複位PFN-A內固定治療老年股骨粗隆間骨摺具有手術創傷小、操作簡單、固定牢靠、併髮癥少等優點，值得臨床推廣應用。
목적탐토방선고골근단수내정（PFN-A）내고정치료노년고골조륭간골절적효과。방법대C비투시하폐합복위PFN-A내고정치료노년고골조륭간골절12례적료효진행회고성분석。결과경수방6～12개월，12례골절전부유합，평균유합시간5개월。안관관절Harris법평분표준，관관절공능우7례，량4례，가1례，관절공능우량솔위91.7％。결론폐합복위PFN-A내고정치료노년고골조륭간골절구유수술창상소、조작간단、고정뢰고、병발증소등우점，치득림상추엄응용。
Objective To investigate the treatment effect of proximal femoral nail anti-rotation(PFN-A) in-ternal fixation for elderly intertrochanteric fracture .Methods The efficacy of closed reduction and PFN-A internal fixation under C-arm fluoroscopy for 12 elderly patients with intertrochanteric fracture were analyzed retrospectively . Results These patients were followed up for 6 to 12 months.All fractures were healed.The average healing time was 5 months.According to traumatic hip score standard,hip function was excellent in 7 cases,good in 4 cases,fair in 1 case.The joint function′s excellent and good rate was 91.7%.Conclusion Closed reduction and PFN-A internal fix-ation in the invasive treatment of elderly intertrochanteric fractures have the advantages of exact curative effect ,simple operation,less damage and fewer complications ,and provide a stable fixation to help early postoperative functional ex-ercise.
