CAJ | 학술논문

目的：探讨股骨近端防旋髓内钉（PFNA）微创治疗股骨转子间骨折的临床疗效。方法采取闭合复位PFNA 微创内固定治疗48例股骨转子间骨折患者。结果48例均获随访，时间6～24个月。术后6个月所有患者均获得骨性愈合，无髋内翻、螺旋刀片切割股骨头、骨不连、内固定断裂等并发症发生。疗效按 Harris评分标准评定：优37例，良9例，可2例，优良率95．8％。结论PFNA 具有创伤小、固定牢靠、并发症少、防旋、防切割等特点，是治疗股骨转子间骨折的有效方法。
목적：탐토고골근단방선수내정（PFNA）미창치료고골전자간골절적림상료효。방법채취폐합복위PFNA 미창내고정치료48례고골전자간골절환자。결과48례균획수방，시간6～24개월。술후6개월소유환자균획득골성유합，무관내번、라선도편절할고골두、골불련、내고정단렬등병발증발생。료효안 Harris평분표준평정：우37례，량9례，가2례，우량솔95．8％。결론PFNA 구유창상소、고정뢰고、병발증소、방선、방절할등특점，시치료고골전자간골절적유효방법。
Objective To evaluate the clinical and radiographic results in intertrochanteric fractures treated with prox-imal femoral nail anti-rotation(PFNA).Methods 48 cases of intertrochanteric fractures were reduced with closed reduction technique and fixed with PFNA.Results The patients were followed up for 6 ~24 months and all fractures were healed in 6 months postoperatively.No Coxa vara,cut-out of lag screw,pseudoarthrosis or implant failure was recorded.According to the Harris standard:the results were excellent in 37 cases,good in 9 and fair in 2,the rate of excellent and good was 95.8%.Conclusions PFNA has the advantages of less surgical trauma,less loss of reduc-tion,less complications,more stable fixation,anti-rotation,anti-cutout.So it is a useful device in the treatment of femoral intertrochanteric fracture.