【摘要】 目的探讨股骨近端螺旋刀片抗旋髓内钉(PFNA)内固定治疗高龄不稳定型股骨转子间骨折的临床疗效。方法应用PFNA内固定治疗36例高龄不稳定型股骨转子间骨折患者。结果患者均获得随访,时间6～36个月。骨折均临床愈合,愈合时间8～18周。无感染、脂肪栓塞、肺栓塞、深静脉血栓、髋内翻、刀片切割等并发症发生。髋关节功能按Harris评分为88～96(92±3.6)分,患者满意度良好。结论 PFNA内固定治疗高龄不稳定型股骨转子间骨折操作简单,创伤小,骨折固定牢固稳定,符合生物学固定原则,并发症少,患者可早期坐起、下地负重,术后髋关节功能恢复好,临床疗效满意。更多还原

【Abstract】 Objective To investigate the proximal femoral nail anti-rotation(PFNA) internal fixation effect in treatment of elderly patients with unstable intertrochanteric fractures.Methods 36 cases of elderly unstable intertrochanteric fractures were treated with PFNA internal fixation.Results All the patients obtained 6~36 months follow-up,all got fracture healing,and the healing time were 8~18 weeks.No infection,fat embolism,pulmonary embolism,deep venous thrombosis,coxa vara,cutting and other complications were found.Hip joint function according to Harris score was 88~96(92±3.6),and all patient got satisfaction.Conclusions PFNA internal fixation in treatment of elderly patients with unstable intertrochanteric fracture has the advantages of simple operation,less trauma,stable fixation,which is consistent with the principle of biological fixation.With less complications,patients can sit up.Early postoperative functional restoration can be abtained.更多还原