摘要
目的探讨不同年龄阶段股骨颈前倾角的变化。方法股骨粗隆间骨折患者60例,按年龄分为>65岁组和≤65岁组各30例。均给予骨折闭合复位、股骨近端防旋髓内钉(proximal femoral nail-rotation,PFNA)固定手术治疗,测量并比较2组临床前倾角。结果年龄>65岁组临床前倾角小于≤65岁组,差异有统计学意义(P<0.01)。结论老年人前倾角偏小,而年轻人前倾角偏大,在行髓内钉治疗股骨近端骨折、向股骨颈内打入导针时应根据患者的年龄不同而调整前倾角。
Objective To research the change of femoral anterior portion angle in different age segments. Methods Sixty patients with intertrochanteric fracture were divided into two groups according to age,30 cases over 65 years old in group 1 -30 cases equal or less than 65 years old in group 2.Closed fracture reduction was performed in all patients, and then, the patients were fixed with proximal femoral nail-rotation（PFNA）.Femoral anterior portion angle was compared in two groups. Results The clinical angle of group 1 was lower than that of group 2, the differences had statistical significance （P〈 0.01）. Conclusion The elder had small femoral anterior portion angle, and the younger had bigger femoral anterior portion angle, therefore, when we treated the proximal femoral fractures by intramedullary nailing, the direction of the needle which had been hit into the femoral neck should be adjusted according to age.
出处
《河北医科大学学报》
CAS
2015年第9期1019-1022,F0002,共5页
Journal of Hebei Medical University
关键词
股骨颈骨折
前倾角
年龄因素
femoral neck fractures
femoral anterior portion angle
age factors
