摘要
目的：评价抗旋转股骨近端髓内钉（proximal femoral nail antirotation，PFNA）固定治疗老年人内侧壁不完整的股骨粗隆间骨折的临床疗效和安全性。方法：回顾分析应用PFNA固定治疗33例65岁以上内侧壁不完整的的股骨粗隆间骨折患者，对手术的时间、切口长度、术中出血量、引流量、开始负重时间、并发症、关节功能和骨折愈合时间等指标进行统计。髋关节功能评价采用Harris评价标准。结果：31例患者获得随访，平均随访时间为9.0~15.5个月，骨折临床愈合时间（12.5±3.5）周；至末次随访，髋关节功能评分优良率为90.3%；股骨近端形态异常发生率为12.9%，平均手术时间为（40.3±12.7） min，术中出血量为（50.2±35.0） ml，术后引流量为（30.5±9.6） ml，手术切口长度（4.3±2.7） cm，开始负重时间（10.3±5.7） d。结论：PFNA固定治疗老年人内侧壁不完整的股骨粗隆间骨折能达到理想治疗效果，方法简便、微创、并发症少，能早期负重活动。
Objective： To evaluate the clinical efficacy of proximal femoral nail antirotation （PFNA） in treatment of elderly incompleted inner wall type intertrochanteric fracture. Methods：The medical records of 33 patients with incompleted inner wall type intertrochanteric fractures were analyzed retrospectively. The incision length,blood loss,operative time,volume of drainage,start standing time,fracture healing time,abnormal rate of femur and complications were summarized,and the clinical effects were also evaluated according to Harris standard. Results：A total of 31 patients achieved complete follow-up data. The fracture healing time and clinical excellent rates were （12.5 ± 3.5） weeks and 90.3%. The abnormal rate of femur operative time, incision length, blood loss, operative time, volume of drainage, and start standing time were 12.9%,（4.3 ± 2.7） cm,（50.2 ± 35.0） ml,（40.3 ± 12.7） min,（30.5 ± 9.6） ml and （10.3 ± 5.7） d. Conclusion：PFNA fixation is an ideal method for treatment of elderly incompleted inner wall type intertrochanteric fractures, with small incision, shorter operative time, shorter fracture healing time, shorter bed rest time and less complications.
出处
《沈阳医学院学报》
2016年第4期253-255,共3页
Journal of Shenyang Medical College
基金
沈阳医学院科技基金项目(No.20141017)
