抗旋股骨近端髓内针治疗老年人股骨转子间骨折  被引量:2

Treatment of femoral intertrochanteric fracture in aged patients with proximal femoral nail antirotation

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作  者:恽常军[1] 钱文杰[1] 吴俊义[1] 朱小国[1] 刘海峰[1] 

机构地区:[1]江苏大学附属武进医院骨三科,江苏常州213002

出  处:《临床骨科杂志》2010年第3期309-310,共2页Journal of Clinical Orthopaedics

摘  要:目的评价抗旋股骨近端髓内针(PFNA)治疗老年人股骨转子间骨折的临床疗效。方法对35例老年人股骨转子间骨折患者采用PFNA内固定治疗。结果 35例均获随访,时间6~24个月,骨折临床愈合时间12~20周。末次随访时根据Harris髋关节评分:优26例,良6例,中2例,差1例,优良率达91.4%。未发生感染、股骨头切割、股骨头坏死及髋内翻畸形等并发症。结论采用PFNA治疗老年人股骨转子间骨折固定可靠,临床疗效满意。Objective To evaluate the clinical outcomes of femoral intertrochanteric fracture in aged patients treated with proximal femoral nail antirotation(PFNA).Methods 35 aged patients with femoral intertrochanteric fractures underwent surgical treatment with PFNA.Results 35 patients were followed up for 6~24 months and the time to union was 12~20 weeks.According to the value of Harris evaluation,the results were excellent in 26 cases,good in 6,fair in 2,and poor in 1,and the excellent and good rate was 91.4% at the final follow-up.There was no infection,lag screw cut-out,femoral head necrosis,varus deformity or other complications.Conclusions PFNA can provide effective fixation and satisfactory clinical outcomes when used for the treatment of femoral intertrochanteric fracture in aged patients.

关 键 词:股骨骨折 骨折固定术 髓内 股骨近端髓内针 老年人 

分 类 号:R683.42[医药卫生—骨科学] R687.33[医药卫生—外科学]

 

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