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闭合复位PFNA内固定治疗股骨粗隆间骨折体会
引用本文:陈希聪,熊昌盛,劳永锵,范伟峰.闭合复位PFNA内固定治疗股骨粗隆间骨折体会[J].赣南医学院学报,2009,29(1):54-55.
作者姓名:陈希聪  熊昌盛  劳永锵  范伟峰
作者单位:佛山市中医院骨九科,广东,佛山,528000
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。

关 键 词:股骨粗隆间骨折  防旋股骨近端髓内钉  内固定  疗效

Clinical experience of treatment for femoral intertrochanteric fractures with close reduction and PFNA fixation
CHEN Xiong,XIONG Chang-sheng,LAO Yong-qiang,FAN Wei-feng.Clinical experience of treatment for femoral intertrochanteric fractures with close reduction and PFNA fixation[J].Journal of Gannan Medical College,2009,29(1):54-55.
Authors:CHEN Xiong  XIONG Chang-sheng  LAO Yong-qiang  FAN Wei-feng
Institution:CHEN Xi-cong,XIONG Chang-sheng,LAO Yong-qiang,FAN Wei-feng(Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528000)
Abstract: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 ac...
Keywords:Femoral intertrochanteric fractures  Proximal femoral nail anti-rotation  Internal fixation  Clinical effect  
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