股骨近端防旋髓内钉治疗Russell-TaylorⅡ型股骨转子下骨折  

Proximal femoral nail antirotation in Russell-Taylor Ⅱ type femoral subtrochanteric fracture

作　　者：孟位明 许红生[1] 付卫杰 王平[1] 

机构地区：[1]涿州市医院骨科,河北涿州072750

出　　处：《临床骨科杂志》2014年第3期330-331,共2页Journal of Clinical Orthopaedics

摘　　要：目的：探讨股骨近端防旋髓内钉（PFNA）治疗Russell-TaylorⅡ型股骨转子下骨折的手术方法及疗效。方法对17例Russell-TaylorⅡ型股骨转子下骨折患者牵引复位后均行PFNA内固定治疗。结果手术时间60～90 min，术中出血量150～400 ml。17例均获随访，时间10～24个月。骨折均达骨性愈合。按Harris标准进行髋关节功能评价：优10例，良6例，可1例。结论 PFNA治疗Russell-TaylorⅡ型股骨转子下骨折操作简单，创伤小，疗效满意。Objective To explore the surgical methods and therapeutic effect of the proximal femoral nail antirotation （PFNA）in treatment Russell-TaylorⅡ type femoral subtrochanteric fractures.Methods The PFNA were used for internal fixation in 17 patients of Russell-Taylor Ⅱ type femoral subtrochanteric fractures.Results The operation time was 60-90 minutes,and intraoperative blood loss was 150-400 ml.All 17 patients were followed up for 10-24 months.The fracture of all patients achieved bony healing.According to the standard of Harris hip joint function assessment,the results were excellent in 10 patients,good in 6 and fair in 1.Conclusions PFNA treatment is sim-ple to be used in Russell-TaylorⅡtype femoral subtrochanteric fractures with minimal trauma,and curative effect is satisfied.

关 键 词：股骨近端防旋髓内钉 骨折固定术 髓内 Russell-TaylorⅡ型股骨转子下骨折 

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