| 股骨近端髓内钉治疗不稳定性转子间骨折 |
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| 引用本文： | 沈碧城. 股骨近端髓内钉治疗不稳定性转子间骨折[J]. 生物骨科材料与临床研究, 2011, 8(3): 40-41. DOI: 10.3969/j.issn.1672-5972.2011.03.011 |
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| 作者姓名： | 沈碧城 |
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| 作者单位： | 湖北省嘉鱼县中医院骨科,湖北,嘉鱼,437200 |
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| 摘 要： | 目的应用股骨近端髓内钉(proximal femoral nail,PFN)治疗股骨转子间不稳定性骨折体会。方法从2005~2009年48例股骨转子间骨折,按Evans-Jesen分型,Ⅱ型8例,Ⅲ型26例,Ⅳ型10例,Ⅴ例4例。经闭合复位,C臂下置入PFN。结果病人3周下地活动,随访12~18月。有2例出现"Z"效应,1例术中出现股骨远端骨折,按照X线评定标准,92.4%疗效满意。结论 PFN治疗股骨转子间不稳定性骨折,疗效满意。
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| 关 键 词： | 股骨近端髓内钉 转子间骨折 |
Application of Proximal Femoral Nail(PFN) in Treatment of Intertrochanteric Femoral fractures |
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| Shen Bicheng. Application of Proximal Femoral Nail(PFN) in Treatment of Intertrochanteric Femoral fractures[J]. Orthopaedic Biomechanics Materials and Clinical Study, 2011, 8(3): 40-41. DOI: 10.3969/j.issn.1672-5972.2011.03.011 |
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| Authors: | Shen Bicheng |
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| Affiliation: | Shen Bicheng.(Department of Orthopedics,The TCM Hospital of Jiayu,Jiayu Hubei,437200,China ) |
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| Abstract: | Objective To evaluate the efficacy of proximal femora nail（PFN） in the treatment of intertrochanteric femoral fractures.Methods 48 cases of intertrochanteric femoral fractures were treated with PFN from 2005-2009 According to Evans-Jensen classification system,there were 8 cases ofⅡ,26 cases of Ⅲ,10 cases of Ⅳ and 4 cases of Ⅴ.The results were observed after closing reduction,and percutaneous pinning fixation.Results All cases left bed within 3 weeks,they were followed up 12-18 months.2 cases with z-effect,1 case with distal end femoral fracture during the surgical operation.92.4%of patients obtained excellent results by X-ray standard.Conclusion PFN has obvious therapeutic effects for comminuted intertrochanteric femoral fractures |
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| Keywords: | Proximal femora nail（PFN） Intertrochanteric femoral fractures |
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