摘要
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。
Objective To evaluate the clinical and radiographic results in intertrochanteric fractures treated with proximal 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 reduction,less complications,more stable fixation,anti-rotation,anti-cutout. So it is a useful device in the treatment of femoral intertrochanteric fracture.
出处
《临床骨科杂志》
2015年第3期329-331,共3页
Journal of Clinical Orthopaedics
关键词
股骨转子间骨折
闭合复位内固定
股骨近端防旋髓内钉
femoral intertrochanteric fractures
closed reduction and internal fixation
proximal femoral nail anti-rotation
