高龄股骨粗隆间骨折的治疗经验  

The Treatment of Intertrachanteric Fracture of Elderly Patient

作　　者：焦广俊[1] 王洪亮[1] 刘海春[1] 赵华[1] 武文亮[1] 王凡[1] 邱实[1] 陈允震[1] 

机构地区：[1]山东大学齐鲁医院骨科,山东济南250012

出　　处：《医学与哲学（B）》2011年第10期31-33,共3页Medicine & Philosophy(B)

摘　　要：探讨高龄患者粗隆间骨折的治疗,并观察比较股骨近端防旋髓内钉(proximal femoral nail anti-rotation,PFNA)和Gamma钉(Gamma Nail)在高龄患者粗隆间骨折治疗中的应用和疗效。经对81例高龄股骨粗隆间骨折行PFNA、Gamma内固定治疗,结果经术后1个月～24个月随访,PFNA组优良率为97.78%、Gamma钉组优良率为91.67%。通过分析认为PFNA和Gamma钉治疗高龄不稳定转子间骨折均能降低并发症的发生率,获得相对满意的远期临床结果;PFNA能减小手术创伤,缩短手术时间。To observe and discuss the PFNA and Gamma nail and its effect in the instable femoral intertrachanteric fracture. Internal fixation was performed with the PFNA and Gamma for the 81 cases of femoral instabIe intertraehanterie fracture. With the 1-24months follow--hp after the operation, the excellent and good rate of Gamma group was 91.67%, the excellent and good rate of PFNA group was 97.78%. The intertrachanteric fracture of the elderly patient can be treated successfully with PFNA and Gamma nail. There is no significant difference in complications and functional outcome between the two groups. PFNA takes advantages of less blood loss, less operative time over Gamma nail.

关 键 词：PFNA GAMMA钉 股骨粗隆间骨折 

分 类 号：R683.42[医药卫生—骨科学]