股骨近端防旋髓内钉治疗老年股骨转子间不稳定性骨折

目的评价股骨近端防旋髓内钉(proximal femoral nail anti-rotation,PFNA)在老年股骨转子间不稳定性骨折治疗中的效果。方法采用PFNA治疗老年股骨转子间不稳定性骨折23例。按照Harris评分标准评价术后髋关节功能。结果 23例均获得随访,随访时间6.0~24.0个月,平均(7.9±2.1)个月。所有病例骨折均愈合,愈合时间6.0~12.0个月,平均(7.3±2.2)个月,其中21例患者已完全负重行走。参照Harris评分标准评定髋关节功能:优13例,良8例,可2例,优良率91.3%。结论 PFNA治疗老年股骨转子间不稳定性骨折操作简单,手术时间短,内固定可靠,是一种理想的治疗方法。

Proximal femoral nail anti-rotation in the treatment of unstable intertrochanteric fractures in the elderly

Objective To introduce the method for the treatment of unstable femoral inter-trochanteric fractures in the elderly patients with the proximal femoral nail anti-rotation (PFNA). Methods Twenty-three patients with femoral intertrochanteric unstable fracture were treated with PFNA. Results The mean follow-up period was (7.9±2.1) months (range 6.0 to 24.0 months). Fracture union occurred in all patients in 6.0-12.0 (7.3±2.2) months. Twenty-one cases could walk with weight bearing. According to Harris hip joint functional criteria, the results were excellent in 13 cases, good in 8, and fair in 2. Conclusion PFNA has the advantage of more simple manipulation, shorter operation time, less bleeding, stronger fixation and antirotation. It is believed that PFNA is an ideal internal fixation material for intertrochanteric fracture of femur.