CAJ | 학술논문

目的：观察应用PFNA来治疗超过80岁以上老人股骨粗隆间及粗隆下骨折的治疗效果。方法：收集2011年8月～2014年2月期间来我院采取PFNA方法治疗股骨粗隆间及粗隆下骨折的80岁以上高龄患者36例。均采用手术治疗，主要包括手术前的准备、手术过程中的方法和手术之后的治疗，对应用PFNA的疗效进行分析。结果：经过3个月～2年观察骨折愈合、无内固定物断裂、骨折不愈合、畸形愈合等并发症。结论：应用PFNA治疗股骨粗隆间和粗隆下骨折具有出血少、内固定牢固、术后髋关节恢复满意等优点，尤其适合高龄老人患者，是疗效好的治疗方法。
목적：관찰응용PFNA래치료초과80세이상노인고골조륭간급조륭하골절적치료효과。방법：수집2011년8월～2014년2월기간래아원채취PFNA방법치료고골조륭간급조륭하골절적80세이상고령환자36례。균채용수술치료，주요포괄수술전적준비、수술과정중적방법화수술지후적치료，대응용PFNA적료효진행분석。결과：경과3개월～2년관찰골절유합、무내고정물단렬、골절불유합、기형유합등병발증。결론：응용PFNA치료고골조륭간화조륭하골절구유출혈소、내고정뢰고、술후관관절회복만의등우점，우기괄합고령노인환자，시료효호적치료방법。
Objective:To evaluate the clinical results of PFNA( the Proximal Femoral Nail Antirotation) internal fixation for the treat-ment of patients over 80 years old who suffered from comminute intertrochanteric fracture and Subtrochanteric fracture of femur.Methods:36 cases of elderly intertrochanteric fracture and Subtrochanteric fracture of femur treated with PFNA in our hospital from August 2011 to February 2014 were selected and analyzed in this study.The perfect treating methods including preparation before operation and care after the treatment were taken.Proximal femoral nail anti-rotation was analyzed.Results:All patients were followed up for 3 months~2 years and all fractures were healed.No complications such as bone nonunion,coxa vara,or malunion occurred were found.Conclusion:Since PFNA fixation had advantages of less interference with blood circulation at the fracture ends,little osseous destruction,simple operation, less blood loss,stable fixation and few postoperative complications,it might be an effective treatment for femoral intertrochanteric fracture and Subtrochanteric fracture in senile patients.