应用PFNA治疗高龄老人股骨粗隆间及粗隆下骨折的临床研究  

Clinical study on effect of proximal femoral nail antirotation （PFNA） in treatment of intertrochanteric fracture and subtrochanteric fracture of femur in elderly patients

作　　者：刘贵秋[1] 李晓波[1] 李文波[1] 

机构地区：[1]黑龙江省绥化市第一医院骨科,黑龙江绥化152000

出　　处：《中国伤残医学》2014年第22期2-3,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：观察应用PFNA来治疗超过80岁以上老人股骨粗隆间及粗隆下骨折的治疗效果。方法：收集2011年8月～2014年2月期间来我院采取PFNA方法治疗股骨粗隆间及粗隆下骨折的80岁以上高龄患者36例。均采用手术治疗，主要包括手术前的准备、手术过程中的方法和手术之后的治疗，对应用PFNA的疗效进行分析。结果：经过3个月～2年观察骨折愈合、无内固定物断裂、骨折不愈合、畸形愈合等并发症。结论：应用PFNA治疗股骨粗隆间和粗隆下骨折具有出血少、内固定牢固、术后髋关节恢复满意等优点，尤其适合高龄老人患者，是疗效好的治疗方法。Objective：To evaluate the clinical results of PFNA（ the Proximal Femoral Nail Antirotation）internal fixation for the treatment of patients over 80 years old who suffered from comminute intertrochanteric fracture and Subtroehanteric fracture of femur. Methods： 36 cases of elderly intertrochanteric fracture and Subtrochanteric fracture of femur treated with PFNA in our hospital from August 2011 to February 2014 were selected and analyzed in this study. The perfect treating methods including preparation before operation and care after the treatment were taken. Proximal femoral nail anti -rotation was analyzed. Results： All patients were followed up for 3 months -2 years and all fractures were healed. No complications such as bone nonunion, coxa vara, or malunion occurred were found. Conclusion：Since PFNA fixation had advantages of less interference with blood circulation at the fracture ends, little osseous destruction, simple operation, less blood loss, stable fixation and few postoperative complications, it might be an effective treatment for femoral intertrochanteric fracture and Subtrochanterie fracture in senile patients.

关 键 词：股骨粗隆间骨折 股骨粗隆下骨折 PFNA内固定 高龄 

分 类 号：R683[医药卫生—骨科学]