摘要
目的总结抗旋转型股骨近端髓内钉（proximal femoral nail—antirotation，PFNA）治疗股骨反粗隆间骨折的临床效果。方法2007年6月至2009年4月，采用PFNA内固定治疗股骨反粗隆问骨折8例，根据AO／OTA分型，其中31A1型3例，31A2型3例，31A3型2例，术后定期复查X片并进行功能检查，对手术时间、失血量、切口愈合时间、术后引流量和髋关节Harris评分进行分析。结果所有患者均获随访，平均随访7．2个月，骨折均愈合，平均愈合时间4．3个月。未见患肢短缩内翻、旋转畸形或内固定螺旋刀片切割，无感染等并发症。髋关节功能按Harris评分标准评价：优7例，良1例。结论PFNA治疗股骨反粗隆问骨折具有操作简单、创伤小、固定牢靠、并发症少、可早期负重等优点，有利于骨折早期愈合。
Objective To assess the clinical effect of intramedullary fixation with proximal femoral nail - antirotation（PFNA） for reverse obique intertrochanteric fracture. Methods Eight patients of reverse obilique intertrochanteric fracture had been operated by proximalfemoral nail - antirotation during Jun - 2007 to Apt - 2009, According to AO classification, there were 3 cases of 31 A1 type, 3cases of 31 A2 and 2cases of 31A3. Results All patients were followed -up within 7.2（3 - 12） months,in 2.5（2 -4） months, all of the bone fractures have been healing. No infection and deformities as shortening, varus or rotation were found. The Harris evaluation revealed excellent in 7 cases and good in 1 cases. Conclusion PFNA intramedullary fixation is a simple, stable, less traumatic method with few complications in the treat- ment of unstable femoral intertroehanteric fracture for aged patients.
出处
《临床外科杂志》
2011年第11期791-792,共2页
Journal of Clinical Surgery
