加长股骨近端防旋髓内钉治疗SeinsheimerⅤ型股骨转子下骨折的疗效  

Effect of lengthened proximal femoral nail anti-rotationin in the treatment of Seinsheimer type V subtrochanteric fracture of femur

作　　者：华长城 杨飞[1] 孙治强 王小合 HUA Chang-cheng;YANG Fei;SUN Zhi-qiang;WANG Xiao-he(Department of Bone and Joint Surgery,Bozhou Hospital Affiliated to Anhui Medical University,Bozhou Anhui 236800,China)

机构地区：[1]安徽医科大学附属亳州医院关节外科,安徽亳州236800

出　　处：《局解手术学杂志》2024年第6期532-534,共3页Journal of Regional Anatomy and Operative Surgery

基　　金：安徽医科大学校科研基金项目(2021xkj220)。

摘　　要：目的探讨加长股骨近端防旋髓内钉(PFNA)治疗SeinsheimerⅤ型股骨转子下骨折的临床疗效。方法回顾性分析2020年1月至2022年8月我院收治的采用闭合复位或有限切开钢丝捆绑联合加长PFNA治疗的21例SeinsheimerⅤ型股骨转子下骨折患者的临床资料。术后记录并评估患者骨折愈合情况、治疗效果、术后并发症情况及术后末次随访髋关节功能Harris评分。结果所有患者均随访6~12个月,骨折均愈合良好,无内固定物断裂、切割病例,无血管损伤病例,1例患者出现异位骨化。末次随访时髋关节功能:优15例、良4例、可2例,优良率90.48%。结论加长PFNA可以有效治疗SeinsheimerⅤ型股骨转子下骨折,闭合复位不理想时行微创钢丝环扎,具有创伤小、骨折愈合快、术后并发症少、髋关节功能恢复好等优点,值得临床推广应用。Objective To investigate the clinical effect of lengthened proximal femoral nail anti-rotation(PFNA)in the treatment of Seinsheimer type V subtrochanteric fracture of femur.Methods The clinical data of 21 patients with Seinsheimer type V subtrochanteric fracture of femur treated by closed reduction or limited incision wire binding combined with lengthened PFNA in our hospital from January 2020 to August 2022 were retrospectively analyzed.The fracture healing status,treatment effect,postoperative complications and Harris score of hip joint function at the last postoperative follow-up of patients were recorded and evaluated.Results All patients were followed up for 6 to 12 months,and the fractures healed well.There were no cases of internal fixation breakage or cutting,no cases of vascular injury,and 1 case of ectopic ossification.At the last follow-up,the hip joint function was excellent in 15 cases,good in 4 cases and fair in 2 cases,with an excellent and good rate of 90.48%.Conclusion Lengthened PFNA can effectively treat Seinsheimer type V subtrochanteric fracture of femur,and minimally invasive steel wire cerclage is performed when the closed reduction is not ideal,which has the advantages of less trauma,fast fracture healing,fewer postoperative complications and good recovery of hip joint function,and is worthy of clinical promotion and application.

关 键 词：加长股骨近端防旋髓内钉 SeinsheimerⅤ型股骨转子下骨折 微创钢丝环扎 

分 类 号：R683.42[医药卫生—骨科学]