CAJ | 학술논문

目的：探讨股骨近端防旋髓内钉（PFNA）治疗Russell-TaylorⅡ型股骨转子下骨折的手术方法及疗效。方法对17例Russell-TaylorⅡ型股骨转子下骨折患者牵引复位后均行PFNA内固定治疗。结果手术时间60～90 min，术中出血量150～400 ml。17例均获随访，时间10～24个月。骨折均达骨性愈合。按Harris标准进行髋关节功能评价：优10例，良6例，可1例。结论 PFNA治疗Russell-TaylorⅡ型股骨转子下骨折操作简单，创伤小，疗效满意。
목적：탐토고골근단방선수내정（PFNA）치료Russell-TaylorⅡ형고골전자하골절적수술방법급료효。방법대17례Russell-TaylorⅡ형고골전자하골절환자견인복위후균행PFNA내고정치료。결과수술시간60～90 min，술중출혈량150～400 ml。17례균획수방，시간10～24개월。골절균체골성유합。안Harris표준진행관관절공능평개：우10례，량6례，가1례。결론 PFNA치료Russell-TaylorⅡ형고골전자하골절조작간단，창상소，료효만의。
Objective To explore the surgical methods and therapeutic effect of the proximal femoral nail antirotation (PFNA)in treatment Russell-TaylorⅡ type femoral subtrochanteric fractures.Methods The PFNA were used for internal fixation in 17 patients of Russell-Taylor Ⅱ type femoral subtrochanteric fractures.Results The operation time was 60~90 minutes,and intraoperative blood loss was 150~400 ml.All 17 patients were followed up for 10~24 months.The fracture of all patients achieved bony healing.According to the standard of Harris hip joint function assessment,the results were excellent in 10 patients,good in 6 and fair in 1.Conclusions PFNA treatment is sim-ple to be used in Russell-TaylorⅡtype femoral subtrochanteric fractures with minimal trauma,and curative effect is satisfied.