CAJ | 학술논문

目的：探讨老年股骨粗隆间骨折运用股骨近端抗旋髓内钉（ PFNA）治疗的临床疗效。方法：49例股骨粗隆间骨折采用股骨近端抗旋髓内钉内固定方法。结果：49例随访3个月～2年，2例死亡失访，骨折全部愈合，1例产生切割，2例髋内翻。结论：应用股骨近端抗旋髓内钉治疗老年股骨粗隆间骨折具有操作简单创伤小，内固定牢固，失血少，应力分散，防旋功能等优点，是一种治疗老年股骨粗隆间骨折较理想的方法。
목적：탐토노년고골조륭간골절운용고골근단항선수내정（ PFNA）치료적림상료효。방법：49례고골조륭간골절채용고골근단항선수내정내고정방법。결과：49례수방3개월～2년，2례사망실방，골절전부유합，1례산생절할，2례관내번。결론：응용고골근단항선수내정치료노년고골조륭간골절구유조작간단창상소，내고정뢰고，실혈소，응력분산，방선공능등우점，시일충치료노년고골조륭간골절교이상적방법。
To discuss the clinical effect of proximal femoral nail antirotation ( PFNA) in the treatment of intertrochanteric fem-oral fracture of the old man .Methods:Forty-nine cases of intertrochanteric femord fracture were treated by proximal femoral nail antirota-tion.Results:Forty-nine cases were followed up for three month to twenty -four month,two cases had dead,one had cut,two of deformity of hip,complete bony healing was found in all patients .Conclusion:Using PFNA in the treatment of interrtrochanteric femoral fracture might be the useful device.It should have the advantage of simpler manipulation, rigid fixation, less blood,stress disperse and anti-rotation.