股骨近端防旋髓内钉治疗老年股骨粗隆间骨质疏松性骨折的疗效观察  

Experience of proximal femoral nail anti rotation intramedullary nail （PFNA）in the treatment of intertro-chanteric osteoporotic fracture in elderly patients

作　　者：高晓伟[1] 王美玲[1] 刘守友 李春江[2] 郑喜国 

机构地区：[1]唐山市南堡开发区医院外科,河北省唐山063305 [2]唐山市第二医院急诊科,河北省唐山063000

出　　处：《中国基层医药》2016年第15期2366-2369,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨股骨近端防旋髓内钉（PFNA）治疗老年股骨粗隆间骨质疏松性骨折的临床效果。方法应用股骨近端防旋髓内钉（PFNA）内固定治疗股骨粗隆间骨质疏松性骨折42例（按 AO 分型，A1型13例，A2型24例，A3型5例）。结果该组42例患者经12～36个月随访，平均随访时间18个月，患者全部骨性愈合，出现下肢深静脉血栓1例，轻度髋内翻1例。按 Harris 疗效评价标准：优32例，良9例，可1例，优良率97．6％。结论股骨近端防旋髓内钉（PFNA）抗拉力、抗滑动、抗旋转功能良好，且操作简单、创伤小，对股骨粗隆间骨质疏松性骨折患者可以推广应用。Objective To investigate the clinical effect of proximal femoral nail anti rotation intramedullary nail （PFNA）in the treatment of intertrochanteric osteoporotic fractures in elderly patients.Methods 42 cases of femoral intertrochanteric fracture were treated with proximal femoral nail anti rotation intramedullary nail （PFNA）in cases （AO type,A1 type 13 cases,A2 type 24 cases,type A3 5 cases）.Results The group of 42 patients after 12 -36 months of follow -up,the average follow -up time of 18 months,all the patients were healed,1 case of deep venous thrombosis,1 case of mild coxa vara.According to the Harris evaluation standard：excellent 32 cases,good in 9 cases,fair in 1 case,the excellent rate was 97.6%.Conclusion The proximal femoral nail anti rotation （PFNA） anti tensile,anti sliding and anti rotation function is good,and has the advantages of simple operation,small trauma,for osteoporotic intertrochanteric fracture patients can be applied.

关 键 词：股骨近端防旋髓内钉(PFNA) 老年 股骨粗隆间骨折 骨质疏松 

分 类 号：R687.3[医药卫生—骨科学]