| 闭合复位PFNA内固定治疗股骨粗隆间骨折体会 |
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| 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 |
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| 作者姓名： | 陈希聪 熊昌盛 劳永锵 范伟峰 |
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| 作者单位： | 佛山市中医院骨九科,广东,佛山,528000;佛山市中医院骨九科,广东,佛山,528000;佛山市中医院骨九科,广东,佛山,528000;佛山市中医院骨九科,广东,佛山,528000 |
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| 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。
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| 关 键 词： | 股骨粗隆问骨折 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 |
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| 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 |
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| Authors: | CHEN Xiong XIONG Chang-sheng LAO Yong-qiang FAN Wei-feng |
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| Affiliation: | CHEN Xi-cong,XIONG Chang-sheng,LAO Yong-qiang,FAN Wei-feng(Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528000) |
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| 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... |
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| Keywords: | Femoral intertrochanteric fractures Proximal femoral nail anti-rotation Internal fixation Clinical effect |
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