应用股骨近端髓内钉治疗股骨转子周围骨折  

Treatment of Femoral Intertrochanteric Fractures with Proximal Femoral Nail

作　　者：徐礼森[1] 张晨[1] 夏侃[1] 熊伟[1] 

机构地区：[1]华中科技大学同济医学院附属中西结合医院(武汉市第一医院)骨科,湖北省武汉市430022

出　　处：《中国骨与关节损伤杂志》2007年第8期632-634,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的评价股骨近端髓内钉(PFN)治疗股骨转子周围骨折的临床疗效。方法对96例股骨转子周围骨折的治疗作回顾性总结分析。所有病例均通过闭合复位完成手术,年龄40～91岁,平均66.5岁。骨折按AO分型,31-A1型31例、31-A2型42例、31-A3型23例。结果本组病例手术时间为35～90min,平均为50min;术中失血量为50～200ml,平均为80ml,术中术后均未输血。本组病例均进行了6～24个月的随访,平均8.5个月。本组病例骨折全部愈合,平均愈合时间3.5个月,无髋内翻及头钉切割发生,无死亡病例。结论对于股骨转子周围骨折,特别是不稳定型转子周围骨折,PFN具有微创操作,固定坚强,术后并发症少,系此类骨折内固定物的首选。Objective To evaluate the clinical effects of the treatment of femoral intertrochanteric fractures with proximal femoral nail （PFN）. Methods A retrospective analysis was done in the treatment of femoral intertrochanteric fractures. Ninety - six patients with femoral intertrochanteric fracture aged between 40 and 91 （mean 66.5） years old were treated by close reduction and intramedallary nail fixation. According to AO- ASIF classification, 31 fractures were classified as 31 - A1, 42 as 31 - A2 and 23 as 31 - A3. Results The operative duration in this series ranged form 35 to 90 minutes （mean 50 minutes） with intraoperative blood loss between 50 and 200 ml （mean 80 ml）. The blood transfusion was performed neither intraoperatively and nor postoperatively. A follow - up of 6 to 24 months （mean 8.5 months） showed a mean fracture healing time of 3.5 months. There was no hip varus, cut - out and death in this series. Conclusion PFN is preferred for the treatment of femoral intertrochanteric fractures, especially for unstable intertrochanteric fracture, with the advantage of minimal invasion, stable fixation, and less postoperative complications.

关 键 词：转子周围骨折 股骨 股骨近端髓内钉 

分 类 号：R683.42[医药卫生—骨科学]