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PFNA内固定治疗老年股骨粗隆间骨折
引用本文:周思栋,张政,韦德才,王威.PFNA内固定治疗老年股骨粗隆间骨折[J].中国医药指南,2014(7):42-43.
作者姓名:周思栋  张政  韦德才  王威
作者单位:广州市番禺区钟村医院外科,广东 广州511495
摘    要:目的观察股骨近端髓内钉(PFNA)治疗股骨转子间骨折的疗效。方法选取本院2010年1月至2012年2月收治股骨转子间骨折30例患者为研究对象,采用PFNA治疗。结果本组30例经918个月随访,全部病例获得骨性愈合。采用髋关节Harris评分标准评定患髋功能,优16例,良10例,可2例,差2例,优良率86.67%,没有发生骨折延迟愈合、内固定失败及术后感染等。结论 PFNA具有创伤小、设计合理、允许患者早期活动,是理想的股骨转子间骨折内固定物之一。

关 键 词:股骨粗隆间骨折  股骨近端髓内钉  治疗

PFNA Internal Fixation in the Treatment of Elderly Femoral Intertrochanteric Fractures
ZHOU Si-dong,ZHANG Zheng,WEI De-cai,WANG Wei.PFNA Internal Fixation in the Treatment of Elderly Femoral Intertrochanteric Fractures[J].Guide of China Medicine,2014(7):42-43.
Authors:ZHOU Si-dong  ZHANG Zheng  WEI De-cai  WANG Wei
Institution:ZHOU Si-dong, ZHANG Zheng, WEI De-cai, WANG Wei
Abstract:Objective To observe the effect of PFNA internal ifxation in the treatment of elderly femoral intertrochanteric fractures. Methdos 30 cases with femoral fractures were selected in our hospital from January 2010 to February 2010 as the research object, they all given PFNA treated. Results All 30 cases after 9 to 18 months followed-up, all patients obtained osseous healing. The joint function evalued by Harris hip score standard, excellent in 16 cases, good in 10 cases, approve in 2 cases, bad in 2 cases, excellent and good rate was 86.67%, no fracture delayed union and internal ifxation failure and postoperative infection, etc. Conclusion PFNA has a small trauma, reasonable design, allows patients to early activity, it is the ideal one of femoral fracture internal ifxation between the rotor.
Keywords:Intertrochanteric fracture  Proximal femoral intramedullary nail  Treatment
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