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PFNA内固定治疗股骨粗隆间骨折78例疗效分析 被引量：15

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摘要 目的探讨股骨近端防旋髓内钉（PFNA）内固定治疗股骨粗隆间骨折的临床疗效。方法自2011-02—2013-08采用闭合复位PFNA内固定治疗股骨粗隆间骨折78例。记录手术时间、透视时间、术中出血量、术后引流量,以及术中、术后并发症。末次随访时采用髋关节功能Harris评分评定疗效。结果本组手术时间60~150（95.3±50.2）min,术中透视时间（109.2±39.5）s,术中出血量150~700（306.4±125.3）ml,术后引流量100~350（159.1±83.3）ml,住院时间（14.9±2.5）d。78例均获随访6~30个月,平均16.5个月,骨折愈合时间平均5.3个月。末次随访时疗效采用髋关节功能Harris评分标准评定：优55例,良19例,可4例,优良率94.9%。结论闭合复位PFNA内固定治疗股骨粗隆间骨折能够减少手术创伤,促进骨折愈合,而且操作相对简单,是一种效果确切的手术方法。
作者 祝思强 徐刚 沈敏捷 严峻
机构地区 苏州市相城区第二人民医院骨科
出处 《中国骨与关节损伤杂志》 2015年第4期406-407,共2页 Chinese Journal of Bone and Joint Injury
关键词 股骨粗隆间骨折 股骨近端防旋髓内钉 闭合复位 内固定
分类号 R687.3 [医药卫生—骨科学]
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参考文献8

二级参考文献47

  • 1张经纬,蒋垚,张先龙,冯建翔,杨立峰,赵刘军,吴志军,黄雷,曾炳芳.股骨转子间骨折不同手术方法比较[J].中华骨科杂志,2005,25(1):7-11. 被引量：389
  • 2Gullberg B,Duppe H,Nilsson B,et al.Incidence of hip fractures in Malmo,Sweden(1950.1991).Bone,1993,14(Suppl 1):S23-S29.
  • 3Kannus P,Parkkari J,Sievanen H,et al.Epidemiology of hip fractures.Bone,1996,18(1 Suppl):57S-63S.
  • 4Dousa P,Bartonicek J,Jehlicka D,et al.Ostcosynthesis of trochanteric fractures using proxiaal femoral nails.Aeta Chir Orthop Traymatol Cech,2002,69:22-30.
  • 5Sanders R,Regazzoni P.Treatment of subtrochanteric femur fractures using the dynamic condylar screw.J Orthop Trauma,1989,3:206-213.
  • 6Mahomed NN,Arndt DC,McGrory BJ,et al.The Harris hip score:comparison of patient self-report with surgeon assessment.J Arthroplasty,2001,16,575-580.
  • 7Ansari Moein CM,Verhofstad MH,Bleys RL,et al.Soft tissue injury related to choice of entry point in antegrade femoral nailing:piriform fossa or greater tmchanter tip.Injury,2005,36:1337-1342.
  • 8Ostrum RF,Mareantonio A,Marburger R,et al.A critical analysis of the eccentric starting point for tmchanteric intramedullary femoral nailing.J Orthop Trauma,2005,19:681-686.
  • 9Pavelka T,Matejka J,Cermenkova H.Complications of internal fixation by a short proximal femoral nail.Acta Chir Orthop Traumatol Cech,2005,72:344-354.
  • 10Osnes EK,Lofthus CM,Falch JA,et al.More postoperative femoral fractures with the Gamma nail than the sliding screw plate in the treatment of trochanteric fractures.Acta Orthop Scand,2001,72:252-256.

共引文献257

同被引文献104

  • 1谷贵山,张博皓,李子川.POSSUM评分系统简介及在骨科推广应用的建议[J].中国骨肿瘤骨病,2005,4(3):172-174. 被引量：21
  • 2张纯,姚明,贺西京,兰宾尚,李浩鹏.老年髋部骨折术后早期并发症对疗效的影响[J].中国矫形外科杂志,2006,14(6):422-424. 被引量：32
  • 3Simmermacher RK, Bosch AM, Van der Werken C. The AO/ASIF- proximal femoral nail ( PFN ) : a new device for the treatment of unsta- ble proximal femoral fractures[J].Injury, 1999,30( 5 ) :327-332.
  • 4Honkonen SE, Vihtonen K, Jarvinen MJ. Second-generation cepha- lomedullary nails in the treatment of reverse obliquity intertrochanterie fractures of the proximal femur [J]. Injury, 2004,35 ( 2 ) : 179-183.
  • 5Haidukewych GJ, Israel TA, Berry DJ. Reverse obliquity fractures of the intertrochanteric region of the femur[J]. J Bone Joint Surg Am, 2001,83-A(5 ) :643-650.
  • 6Min WK, Kim SY, Kim TK, et al. Proximal femoral nail for the treatment of reverse obliquity intertrochanteric fracturtes compared with Gamma nail[ J]. J Trauma,2007,63 (5) : 1054-1060.
  • 7Barton TM, Gleeson R, Topliss C, ct al. A comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur: a prospective ran- domized trial[ J ]. J Bone Joint Surg Am ,2010,92 (4) :792-798.
  • 8Parker M J, Handoll HH. Gamma and other cephalocondylic intramed- ullary nails versus extramedullary implants tot cxtraeapsular hip frac- tures in adults[ J]. Cochrane Database Syst Rev ,2004,1 : CD000093.
  • 9Sadowski C, Lubbeke A, Saudan M, et al. Treatnent of reverse ob- lique and transverse intertrochanteric fraetures with use of an intr- amedullary nail or a 95 degrees screw-plate: a prospective, random- ized study [ J ]. J Bone Joint Surg Am,2002,84-A ( 3 ) : 372-381.
  • 10Ma JX, Wang J, Xu WG, ct al. Biomechanical outcome of proximal femoral nail antirotation is superior to proximal femoral locking ,com- pression plate for reverse oblique intertrochanterie fractures: a biome- chanical study of intertrochanteric fractures[J]. Acta Orthop Trauma- tol Ture ,2015,49 (4) :426-432.

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中国骨与关节损伤杂志
2015年 第4期

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