CAJ | 학술논문

目的探讨防旋股骨近端髓内钉(PFNA)治疗外侧壁不完整性股骨转子间骨折的临床效果.方法 2010年4月至2012年5月使用PFNA治疗32例外侧壁不完整性股骨转子间骨折.记录每例患者的手术时间、术中出血量、并发症等数据,对该治疗方法进行初步评价.并分别于术后6周、3个月、6个月、12个月安排复诊,检查患肢功能并常规摄患髋正、侧位X线片.术后髋关节功能评定使用Harris评分.测量最后一次随访时的颈干角并与术后比较.结果本组病例手术时间为60～190 min,平均(80 ±5) min；术中出血量为90 ～ 250 ml,平均(120 ±9) ml；平均住院天数(15±7)d；负重时间为术后(6.3±1.2)周,骨折愈合时间平均3.6个月.所有患者均获骨折愈合,无髋内翻或内固定切出等并发症发生.结论 PFNA具有固定可靠、创伤小、并发症少和功能恢复好等特点,是治疗外侧壁不完整性股骨转子间骨折较理想的方法.
목적 탐토방선고골근단수내정(PFNA)치료외측벽불완정성고골전자간골절적림상효과.방법 2010년4월지2012년5월사용PFNA치료32예외측벽불완정성고골전자간골절.기록매례환자적수술시간、술중출혈량、병발증등수거,대해치료방법진행초보평개.병분별우술후6주、3개월、6개월、12개월안배복진,검사환지공능병상규섭환관정、측위X선편.술후관관절공능평정사용Harris평분.측량최후일차수방시적경간각병여술후비교.결과 본조병례수술시간위60～190 min,평균(80 ±5) min；술중출혈량위90 ～ 250 ml,평균(120 ±9) ml；평균주원천수(15±7)d；부중시간위술후(6.3±1.2)주,골절유합시간평균3.6개월.소유환자균획골절유합,무관내번혹내고정절출등병발증발생.결론 PFNA구유고정가고、창상소、병발증소화공능회복호등특점,시치료외측벽불완정성고골전자간골절교이상적방법.
Objective To investigate the treatment of proximal femoral nail antirotation (PFNA) in pertrochanteric hip fractures with unstable lateral-wall.Methods Thirty-two cases were included from the April 2009 to May 2011.Recorded operation period,blood loss volume,and complications and evaluated the effect of the methods.Arrange referral at 6 weeks,3 months,6 months,12 months respectively after operation,to check limb function and conventional camera hips,lateral X-ray film.Postoperative functional evaluation using the Harris hip score.Measure the last follow-up neck shaft angle and compare with postoperative's.Results The average operation period was (60-190) min,average was (80 ± 5) min ; blood loss volume was (90-250)ml,average was (120 ± 9) ml ; Average hospital periods was (15 ± 7) days; weight loading time was (6.3 ± 1.2)weeks after surgery and average time of union of fracture was 3.6 months.All patients obtained union of fracture without complications such as varus,internal fixation cutting out.Conclusion PFNA was proved to be an effective way for treating unstable lateral-wall of pertrochanteric hip fractures due to its advantages of stable fixation,minor trauma,less complications.