CAJ | 학술논문

目的：探讨PFNA治疗老年股骨粗隆间骨折的临床疗效。方法：回顾性分析2011年8月～2013年8月应用PFNA治疗的68例老年股骨粗隆间骨折患者资料，其中男32例，女36例。骨折按Evans～Jensen分类，Ⅰ型21例，Ⅱ型26例，Ⅲ型15例，Ⅳ型6例。记录手术时间和术中出血量。采用Harris评分对其治疗效果进行评定。结果：68例患者均顺利通过手术，手术时间35～76分钟，术中出血量约50～180 ml。术后所有患者均获随访，随访时间为6～30个月，平均16个月。按Harris标准进行评分：优36例，良26例，可4例，差2例；优良率91．18％。结论：应用PFNA内固定治疗老年股骨粗隆间骨折，手术创伤小、内固定牢靠、骨折愈合快、并发症少，是一种理想的手术方式，值得在临床上推广使用。
목적：탐토PFNA치료노년고골조륭간골절적림상료효。방법：회고성분석2011년8월～2013년8월응용PFNA치료적68례노년고골조륭간골절환자자료，기중남32례，녀36례。골절안Evans～Jensen분류，Ⅰ형21례，Ⅱ형26례，Ⅲ형15례，Ⅳ형6례。기록수술시간화술중출혈량。채용Harris평분대기치료효과진행평정。결과：68례환자균순리통과수술，수술시간35～76분종，술중출혈량약50～180 ml。술후소유환자균획수방，수방시간위6～30개월，평균16개월。안Harris표준진행평분：우36례，량26례，가4례，차2례；우량솔91．18％。결론：응용PFNA내고정치료노년고골조륭간골절，수술창상소、내고정뢰고、골절유합쾌、병발증소，시일충이상적수술방식，치득재림상상추엄사용。
To explore the clinical efficacy of PFNA in the treatment of the elderly patients with intertrochanteric frac-ture.Methods:Totally 68 elderly patients( males 32 and females 36) with intertrochanteric fractures treated by the PFNA were retro-spectively analyzed from August,2011 to August,2013.According to the Evans-Jensen classification of intertrochanteric fractures, there were 21 cases in typeⅠ,26 cases in typeⅡ,15 cases in typeⅢ and 6 cases in typeⅣ.Recording the operation time and the bleeding volume.Its outcome was evaluated by Harris scoring system.Resul ts:Successful operation was achieved in 68 patients. The operation time was 35~76 minutes, the intraoperative blood loss was about 50~180 ml.All patients were followed up for 6 to 30 months, averaging 16 months.According to Harris evaluation, 36 cases were rated as excellent, 26 good, 4 fair, and 2 poor. The excellent and good rate was 91 .18%.Conclusion:The treatment of intertrochanteric fracture in elderly patients with PFNA should have advantages of less trauma, rigid fixation, fast bone healing, fewer complications, might be a ideal surgical approach, and worthy of clinical application.