摘要
目的 总结股骨近端抗旋髓内钉（PFNA）治疗转子周围骨折的临床经验,探讨其临床疗效.方法 2006年3月-2008年9月使用PFNA治疗136例转子周围骨折患者,骨折均为闭合型.手术使用骨科牵引床、C形臂影像增强器,采用闭合复位或有限切开复位、锁定技术.结果 136例经10～18个月随访,平均14.5个月,所有患者均获得骨性愈合.根据Harris髋关节评分,129例（94.9%）为优良.结论 PFNA治疗股骨转子周围骨折手术创伤小、并发症少、固定更稳定,是股骨转子周围骨折理想的内固定物.
Objective To summarize the experiences in treatment of intertochanteric fractures with proximal femur nail antirotation （PFNA）. Methods A retrospective study was done on 136 patients with intertrochanteric fractures treated with PFNA from March 2006 to September 2008. Postoperative reduction quality, long-term radiographic results and function of hip were evaluated separately. All the patients had closed fractures. The operation involved orthopedic traction bed, C-arm image intensifier,closed reduction or limited open reduction and locking technique. Results All patients were followed up for 10-18 months （average 14.5 months）, which showed fracture healing in all patients. According to Harris criterion, the function of the hip joint obtained excellence in 129 patients （ 94.9% ）. Conclusion PFNA has advantages of simple procedure, minimal invasion, firm fixation and early functional exercises and is an effective method for treatment of intertrochanteric fractures.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2010年第8期709-712,共4页
Chinese Journal of Trauma
关键词
股骨
髋骨折
骨折固定术
内
股骨近端抗旋髓内钉
Femur
Hip fractures
Fracture fixation,internal
Proximal femur nail antirotation
