摘要
目的探讨加长股骨近端防旋髓内钉（PFNA）治疗股骨转子下骨折的临床疗效。方法选取2012年1月至2016年1月因股骨转子下骨折手术治疗的患者23例，复位骨折端后予PFNA固定，观察每位患者出血量、手术时间、住院时间、骨折愈合时间、下地负重行走时间及髋关节能Harris评分。结果本组术中平均出血量（165±53）ml，均未输血，平均手术时间（78±21）min，平均术后住院（6．8±1．4）d，骨折全部愈合，平均愈合时间（11．5±1．5）周，术后未出现感染、深静脉血栓、螺钉切割、断钉等，术后患者髋关节Harris评分优良率达100％。结论利用加长PFNA治疗股骨转子下骨折具有手术出血少、手术时间短、骨折愈合快及并发症少等优点，具有较好的临床应用价值。
Objective To investigate the clinical effect of lengthening PFNA in treatment of subtrochanteric fracture. Method From January 2012 to January 2016, 23 patients were received subtrochanteric fracture surgery, reduction of fracture with proximal femoral nail anti rotation （ PFNA ） fixation.The amount of bleeding, each patient in the operation time, hospitalization time, fracture healing time, weight-bearing walking time and Harris hip score were observed. Results The amount of bleeding was （ 165 ±53 ） ml, no blood transfusion, operation time and postoperative hospital stay was （ 78 ±21 ） min, （ 6.8 ± 1.4 ） d, all fractures healed, the healing time was （ 11.5 ± 1.5 ） weeks after surgery, no infection, deep vein thrombosis, screw cutting, nail breaking, postoperative Harris hip score excellent rate was 100%. Conclusion The treatment of subtrochanteric femoral fractures with extended PFNA has advantages of less bleeding, shorter operative time, faster fracture healing and fewer complications.
出处
《浙江临床医学》
2017年第6期1058-1060,共3页
Zhejiang Clinical Medical Journal
