摘要
目的:总结股骨近端抗旋髓内针(PFNA)治疗老年患者股骨转子间骨折的临床经验,讨论其疗效。方法:2007年9月-2011年7月使用PFNA治疗老年患者闭合性股骨转子间骨折32例,手术中均使用C形臂X光机,骨科牵引床,采用闭合或切开复位固定。结果:32例患者经过(12-18)月随访,平均14.3个月,全部骨折均骨性愈合,Harris髋关节评分,30例为优良,优良率93.7%。结论:PFNA治疗老年患者股骨转子间骨折固定更稳定,是股骨转子间骨折理想的内固定方式。
Objective：To study the rotary resistance of proximal femur intramedullary （PFNA） in the treatment of femoral intertrochanteric fractures in elderly patients. Methods： Between September 2007and July 2011,32 elderly patients with closed femoral intertrochanteric fracture in our hospital were treated by using PFNA under c-arm x-ray machine and in orthopedics traction beds. The operation included closed or open reduction and fixation. Results： In the 32 patients follow-ups 12 - 18 months after surgery （average of 14. 3 months） , all patients had complete healing of their bone fractures. On the Harris hip score, 93.7 % of patients （30/32） had a good rate. Conclusions： PFNA is a stable fixation in the treatment of senile intertrochanteric fracture fixation in elderly patients, and is an ideal way of internal fixation for intertrochanteric fractures of femur.
出处
《川北医学院学报》
CAS
2012年第1期45-47,共3页
Journal of North Sichuan Medical College
