PFNA结合中医治疗老年股骨粗隆间骨折疗效分析

目的观察股骨近端防旋髓内针(PFNA)结合中医方法治疗老年股骨粗隆间骨折的临床疗效。方法 2011年1月~2013年12月,采用微创PFNA治疗老年股骨粗隆间骨折患者20例,均于伤后1周内C型臂X线机透视下闭合复位后采用PFNA内固定治疗。结果 20例患者,优14例,良4例,中2例,优良率为90.0%。术后随诊6~23个月,1例出现下肢腓总神经损伤症状,1例出现肺部感染,其余患者皆获满意疗效。结论 PFNA结合中医治疗老年股骨粗隆间骨折,取得满意疗效,利于骨折愈合。

Efficacy Analysis on Senile Femoral Intertrochanteric Fracture Treated with PFNA and Chinese Medicine

Objective To observe the clinical efficacy of PFNA（proximal femoral nail anti - rota-tion）and Chinese medicine on senile femoral intertrochanteric fracture（IFF）. Methods From January 2011 to December 2013,20 cases of senile IFF were treated with minimally invasive PFNA. In 1 week after injury, after the close reduction under C - type arm X - ray image machine,PFNA internal fixation was applied. Re-sults There were 1 case of peroneal nerve injury and 1 case of pulmonary infection. The satisfactory effect was achieved in the rest patients. In follow - up visit of 6 to 23 months after surgery,14 cases were excellent, 4 cases were good and 2 cases were fair in evaluation. The excellent and good rate was 90% . Conclusion PFNA combined with Chinese medicine achieves the satisfactory efficacy on senile IFF and promotes the healing after fracture.