PFN-A治疗股骨粗隆间骨折147例疗效分析  

Curative effect of PFN-A in the treatment of peritrochanteric fractures

作　　者：缪昌杰 饶敦亮 朱献忠[1] 耿庆贺[1] 

机构地区：[1]江苏省邳州市人民医院骨一科,邳州221300

出　　处：《骨科》2011年第2期90-91,共2页ORTHOPAEDICS

摘　　要：目的探讨股骨近端髓内钉PFN-A（proximal femoral nail anti-rotation）治疗股骨粗隆间骨折的临床疗效。方法 2004年3月-2008年6月收住147例,按Evans分型,Ⅱ型26例,Ⅲ型66例,Ⅳ型39例,Ⅴ型16例。应用PFN-A内固定治疗。结果 126例获得随访,随访时间6-36个月,平均随访16个月。按Sanders髋关节创伤后功能评价方法,优72例,良31例,优良率81.75%。术后并发症：股骨头坏死3例,肺炎1例,术后2月部分负重后股骨颈锁钉有4mm向上切割1例,轻度髋内翻2例,切口浅部感染1例。结论 PFN-A治疗股骨粗隆间骨折,具有损伤小,手术时间短,出血少,固定牢固能早期下地活动,并发症少等优点,是治疗股骨粗隆间骨折的良好选择。Objective To assess the curative effect of proximal femoral nail anti-rotation（PFN-A） for peritrochanteric fractures.Methods From March 2004 to June 2008,147 adult patients with peritrochanteric fractures were treated by PFN-A.According to Evans classification system,there were 26 cases in type Ⅱ,66 cases in type Ⅲ,39 cases in type Ⅳ and 16 cases in type Ⅴ.The follow-up period was between 6 to 36 months.Results According to Sanders scales,114 patients were in excellent,30 in good,and 3 in poor.Conclusion Peritrochanteric fracture treated by PFN-A has excellent clinical outcome.

关 键 词：股骨骨折 外科手术 治疗 

分 类 号：R687.3[医药卫生—骨科学]