摘要
目的：探讨闭合复位防旋股骨近端髓内钉（PFNA）内固定治疗股骨粗隆间骨折的临床疗效。方法：对闭合复位PFNA内固定治疗股骨粗隆间骨折26例的疗效进行回顾性分析。骨折按AO分类标准,A1型5例,A2型12例,A3型9例,均为闭合性骨折。分析患者的手术时间、术中出血量、骨折愈合情况及Sanders评分评估患髋功能。结果：手术时间35-80min,平均52min,术中出血量100-350ml,平均180ml,平均随访10个月,骨折均愈合,Sanders髋关节评分标准,优23例,良3例。结论：闭合复位PFNA内固定治疗股骨粗隆间骨折疗效确切,操作简单,创伤出血少,固定牢靠,有助于术后早期功能锻炼,利于膝关节功能的恢复。
Objective：To evaluate the effect of treatment for femoral intertrochanteric fractures with close reduction and proximal femoral nail anti-rotation （PFNA） fixation. Methods： Retrospective analysis of effect of treatment for 26cases of femoral intertrochanteric fractures with close reduction and PFNA fixation. According to AO classification, 5 fractures were type A1 , 12 type A2 and 9 type A3. All cases were close fractures. To analyse the operative time , volume of blood loss, healing of fractures and joint function according to Sanders hip scale system. Results： The mean operative time was 52min （35 -80 min ） . The mean blood loss was 180ml （ 100 -350 ml）. The mean duration of follow-up was 10 months. Union occulted in all patients. ACcording to Sanders hip scale system, the results were excellent in 23 cases, good in 3. Conclusion ： The effect of treatment for femoral intertrochantefic fractures with close reduction and PFNA fixation is remarkable because of its advantages of simple manipulation, less blood loss, stable fixation, benefit for early exercise and recovery of knee joint function .
出处
《赣南医学院学报》
2009年第1期54-55,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
股骨粗隆间骨折
防旋股骨近端髓内钉
内固定
疗效
Femoral intertrochanteric fractures
Proximal femural nail anti -rotation
Internal fixation
Clinical effect
