摘要
目的:浅析股骨近端防旋髓内钉(PFNA)结合微创治疗老年股骨粗隆间骨折的疗效。方法:自2016年1月-2018年2月收治的36例老年股骨粗隆间骨折,应用股骨近端防旋髓内钉内固定治疗,进行回顾性分析,评价其临床疗效。结果:病例均随访,时间3-12个月,平均6个月,根据Harris髋关节功能评分标准评价临床效果,优26例,良6例,中4例,优良率88.9%。所有骨折均临床愈合下地行走,愈合时间12-20周,平均16周,无内固定明显松动、断裂、骨不连,无明显髋内翻畸形。结论:股骨近端防旋髓内钉(PFNA)结合微创治疗老年股骨粗隆间骨折,临床疗效满意。
Objective: Analysis of the effect of proximal femoral nail anti rotation ( PFNA ) combined with minimally invasive treatment for intertrochanteric fractures in the elderly. Methods: 36 cases of intertrochanteric fracture of the femur from January 2016 to February 2018 were treated with intramedullary intramedullary nail fixation in the proximal femur. A retrospective analysis was carried out to evaluate the clinical efficacy of the femoral intertrochanteric fracture. Results: All cases were followed up for 3 - 12 months, with an average of 6 months. According to the Harris hip function score standard, the clinical effect was evaluated, 26 cases were excellent, 6 cases were good, 4 cases were good, and the excellent rate was 88.9%. All fractures were treated with clinical healing. The healing time was 12 ~ 20 weeks, an average of 16 weeks. There was no obvious loosening, fracture, nonunion and no obvious coxa varus. Conclusion: Proximal femoral nail anti rotation (PFNA) combined with minimally invasive treatment of intertrochanteric fractures in the elderly is satisfactory.
作者
黎文兵
LIi Wen-bing(Department of orthopedics, hospital of Wuhu county, Anhui province, Wuhu 241100)
出处
《中国伤残医学》
2019年第7期3-5,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
髓内钉
内固定
老年
股骨粗隆间骨折
Intramedullary nail
Internal fixation
Elderly
Intertrochanteric fractures
