CAJ | 학술논문

目的：探讨股骨近端抗髓内钉（PFNA）内固定治疗股骨转子周围骨折的手术技巧和疗效。方法：回顾性分析采用PFNA治疗股骨转子周围骨折68例。结果：所有病例均得到随访，随访时间12~37个月，平均（18.22±7.49）月，除1例发生髋内翻和1例股骨头坏死外，无股骨干骨折、螺旋刀片切割等并发症发生。根据Sanders髋关节创伤后功能评分标准，优37例，良25例，差6例，优良率达91.18%。结论：PFNA内固定治疗股骨转子周围骨折具有微创、固定可靠、操作简单、快速康复等优点，是治疗股骨转子周围骨折的首选方法。
목적：탐토고골근단항수내정（PFNA）내고정치료고골전자주위골절적수술기교화료효。방법：회고성분석채용PFNA치료고골전자주위골절68례。결과：소유병례균득도수방，수방시간12~37개월，평균（18.22±7.49）월，제1례발생관내번화1례고골두배사외，무고골간골절、라선도편절할등병발증발생。근거Sanders관관절창상후공능평분표준，우37례，량25례，차6례，우량솔체91.18%。결론：PFNA내고정치료고골전자주위골절구유미창、고정가고、조작간단、쾌속강복등우점，시치료고골전자주위골절적수선방법。
Objective:To discuss the surgical technique and efficacy of the application of proximal femoral nail anti-rotation(PFNA)in the treatment of peritrochanteric femoral fracture. Method:Sixty-eight patients with peritrochanteric femoral fractures treated with PFNA were reviewed. Result:The follow-up time was 12 to 37 months, average was(18.22±7.49)months. Varus of hip joint occurred in one case and osteonecrosis of the femoral head in one case,however,no other complications such as femoral shaft fracture and anti-rotation screw cut through the femoral head. According to Sanders post trauma hip function score standard,the result was excellent in 37 cases,fair in 25 cases,bad in 6 cases,and the excellent and the good rate was 91.18%. Conclusion:PFNA can be recommended to the treatment of peritrochanteric femoral fracture as the first choice for its advantages of minimally invasive,reliable fixation,simple operation,and rapid rehabilitation.