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防旋股骨近端髓内钉治疗股骨转子间骨折
引用本文:董国良,黄金星,黄晓蓉,吴逢斌,文波,余洋.防旋股骨近端髓内钉治疗股骨转子间骨折[J].中国实用医药,2011,6(27):36-38.
作者姓名:董国良  黄金星  黄晓蓉  吴逢斌  文波  余洋
作者单位:成都市新都区中医医院,650500
摘    要:目的评价防旋股骨近端髓内钉治疗股骨转子间骨折的临床疗效。方法 2009年1月至2011年1月,采用防旋股骨近端髓内钉治疗股骨转子间骨折18例,男11例,女7例:年龄23~82岁,平均66.5岁。受伤原因:步行跌伤13例,车祸伤3例,高处坠落伤2例。AO分型:A1型3例,A2型12例,A3型3例。骨折采用闭合复位,防旋股骨近端髓内钉内固定术。结果平均手术时间64min(55~85min)。平均失血量260ml(150~450ml)。术中6例须扩髓即可放入主钉,12例无须扩髓即可放入主钉。平均部分负重时间8d(6~23d)。平均随访9.5个月(7~18个月)。切口均一期愈合,骨折平均5.5个月愈合(4~8个月),术后功能均恢复到伤前水平,1例主钉入点偏外导致140内翻。结论防旋股骨近端髓内钉可以有效地固定股骨转子间骨折,手术时间短,出血少,抗旋转能力强,可早期功能锻炼,并发症少,是治疗股骨转子间不稳定性骨折的较好方法。

关 键 词:股骨转子间  骨折固定术    内固定器

Treatment of intertrochanteric fractures fractures with the proximal femoral nail anti-rotation
DONG Guo-liang,HUANG Jin-xing,HUANG Xiao-rong,et al..Treatment of intertrochanteric fractures fractures with the proximal femoral nail anti-rotation[J].China Practical Medical,2011,6(27):36-38.
Authors:DONG Guo-liang  HUANG Jin-xing  HUANG Xiao-rong  
Institution:DONG Guo-liang,HUANG Jin-xing,HUANG Xiao-rong,et al.Department of Orthopedics,Traditional medicine Hospital of Xin Du' City,Xin'Du Sichuan,650500,China
Abstract:Objective to explore the clinical outcome of intertrochanteric fractures with the proximal femoral nail anti-rotation (PFNA).Methods Eighteen patients for intertochanteric fractures of the femur were treated with the proximal femoral nail anti-rotation from January 2009 to January 2011 There were 11 males and 7 females with an average age of 66.5 years(ranged from 23 to 82 years).Mechanism of injury:pedestrian injury in 13 cases,traffic accident in 3 cases and fall injury in 2 cases.AO classification:A1 typ...
Keywords:Intertrochanteric  Fracture fixation  Internal  Internal fixators  
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