PFNA治疗高龄骨质疏松性股骨粗隆间骨折体会 |
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引用本文: | 马向阳,黄永刚,刁振鸿,秦步平.PFNA治疗高龄骨质疏松性股骨粗隆间骨折体会[J].骨科,2012,3(1):21-23. |
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作者姓名: | 马向阳 黄永刚 刁振鸿 秦步平 |
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作者单位: | 江苏省海门市人民医院骨科,海门,226100 |
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摘 要: | 目的探讨股骨近端抗旋髓内钉(proximal fermoral nail anti-rotation,PFNA)在治疗高龄骨质疏松性股骨粗隆间骨折临床疗效。方法应用PFNA治疗36例75岁以上高龄骨质疏松性股骨粗隆间骨折患者,手术采用闭合复位,小切口置入PFNA内固定,同时注重围手术期处理及抗骨质疏松治疗。结果 36例获得随访,时间9~24个月,平均12个月。其中1例90岁患者,于术后9个月死于脑梗塞,其余35例骨折全部愈合,无感染、骨不连、髋内翻、内固定失效等并发症的发生。根据Harris功能评分标准:28例优,4例良,3例中,优良率91.4%。结论 PFNA对于高龄骨质疏松性股骨粗隆间骨折具有微创性,固定可靠,疗效满意等优点。
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关 键 词: | 股骨骨折 内固定术 骨质疏松 老年人 |
Treatment of senile osteoporotic femoral intertrochanteric fracture with proximal femoral nail anti-rotation |
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Institution: | Ma Xiang-yang,Huang Yong-gang,Diao Zhen-hong,et al.Department of Orthopedics,Jiangsu Haimen People’s Hospital,Haimen 226100,China |
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Abstract: | Objective To evaluate the clinical effects in the treatment of senile osteoporotic femoral intertrochanteric fracture with proximal femoral nail anti-rotation(PFNA).Methods Thirty-six cases over 75 years old with senile osteoporotic intertrochanteric fractures were treated with PFNA.All cases underwent closed reduction.The PFNA was implanted through a mini-incision without exposure of the fracture section during the operation,while focusing on perioperative management and treatment for osteoporosis.Results Thirty-six cases were followed up from 9 to 24 months(mean 12 months).One case of 90 years old patient died of cerebral infarction after 9 months,and the remaining 35 fractures healed without infection,nonunion,varus,fixation failure and other complications occurred.According to Harris criterion,the function of hip joint was excellent in 28 cases,good in 4 cases,and fair in 3 cases,with the excellent and good rate being 91.4%.Conclusion PFNA can provide a good fixation and a minimal invasion for the senile patients with osteoporotic femoral intertrochanteric fractures and provide good clinical outcome. |
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Keywords: | Femoral fractures Fracture fixation Osteoporosis Aged |
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