大理学院学报：综合版
大理學院學報：綜閤版
대이학원학보：종합판
Journal of Dali University
2012年
9期
56-58
,共3页
股骨粗隆间骨折%内固定%股骨近端髓内钉%老年人
股骨粗隆間骨摺%內固定%股骨近耑髓內釘%老年人
고골조륭간골절%내고정%고골근단수내정%노년인
intertrochanteric fracture of femur%internal fixation%proximal femoral nail anti-rotation(PFNA)%elderly
目的：评价防旋转股骨近端髓内针治疗股骨粗隆间不稳定骨折的临床疗效。方法：对使用PFNA内固定治疗的22例股骨粗隆间骨折的分类、手术方法、术后结果进行疗效分析。结果：所有患者均进行11~26个月的随访,平均随访时间13个月。骨折全部临床愈合。按关节评分：优16例,占73%,良4例,占18%,可2例,占9%,优良率90.9%。结论：PFNA治疗老年股骨粗隆间不稳定骨折,具有手术操作简单、创伤小、固定可靠的特点,是内固定治疗股骨粗隆间不稳定骨折的比较理想方法。
目的：評價防鏇轉股骨近耑髓內針治療股骨粗隆間不穩定骨摺的臨床療效。方法：對使用PFNA內固定治療的22例股骨粗隆間骨摺的分類、手術方法、術後結果進行療效分析。結果：所有患者均進行11~26箇月的隨訪,平均隨訪時間13箇月。骨摺全部臨床愈閤。按關節評分：優16例,佔73%,良4例,佔18%,可2例,佔9%,優良率90.9%。結論：PFNA治療老年股骨粗隆間不穩定骨摺,具有手術操作簡單、創傷小、固定可靠的特點,是內固定治療股骨粗隆間不穩定骨摺的比較理想方法。
목적：평개방선전고골근단수내침치료고골조륭간불은정골절적림상료효。방법：대사용PFNA내고정치료적22례고골조륭간골절적분류、수술방법、술후결과진행료효분석。결과：소유환자균진행11~26개월적수방,평균수방시간13개월。골절전부림상유합。안관절평분：우16례,점73%,량4례,점18%,가2례,점9%,우량솔90.9%。결론：PFNA치료노년고골조륭간불은정골절,구유수술조작간단、창상소、고정가고적특점,시내고정치료고골조륭간불은정골절적비교이상방법。
Objective: To evaluate proximal femoral nail anti-rotation(PFNA) in the treatment of unstable intertrochanteric fracture. Methods: The classifications,operation approachs and post-operative effects were assessed in the 22 patients of intertrochanter fracture of femur treated with PFNA.Results: All cases were followed up from 11 to 26 months after operations(average 13 months). The post-operative follow-up study showed that all the cases were fracture healed,under the joint scores,16 cases were excellent(73%),4 cases were good(18%),2 cases were normal(9%),the excellent rate was 90.9%.Conclusion: Treatment of elderly unstable intertrochanteric fracture of with PFNA was an ideal approach with simple operation,less trauma,reliable fixation.
