引用本文:黄善能,韦家宁,韦汉鹏,黄 开.股骨近端防旋髓内钉治疗老年骨质疏松性粗隆间骨折的疗效观察[J].中国临床新医学,2011,4(1):73-75.
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股骨近端防旋髓内钉治疗老年骨质疏松性粗隆间骨折的疗效观察
黄善能,韦家宁,韦汉鹏,黄 开
537000 广西,玉林市骨科医院
摘要:
[摘要] 目的 探讨应用股骨近端防旋髓内钉(proximal femoral nail anti-rotation,PFNA)治疗股骨粗隆间骨折的疗效。方法 12例股骨粗隆间骨折应用PFNA进行治疗。结果 经6~24个月随访,平均12个月,骨折全部获得愈合。根据Harris髋关节评分为优9例,良2例,差1例,优良率为91.7%。结论 PFNA治疗股骨粗隆间骨折具有创伤小、固定牢靠、防旋转、防切割等优点,是治疗股骨粗隆间骨折理想的内固定物,值得推广。
关键词:  股骨近端防旋髓内钉  股骨粗隆间骨折  内固定
DOI:10.3969/j.issn.1674-3806.2011.01.30
分类号:R 681.8
基金项目:
Clinical analysis of the treatment of femoral intertrochanteric fracture with proximal femoral nail anti-rotation
HUANG Shan-neng, WEI Jia-ning, WEI Han-peng, et al.
Yulin Orthopedic Hospital,Guangxi 537000,China
Abstract:
[Abstract] Objective To evaluate the clinical effects in the treatment of femoral intertrochanteric fracture with proximal femoral nail Anti-rotation(PFNA). Methods In a prospective study 12 patients with proximal femoral fractures were treated with PFNA. Results 12 patients were followed up for 6~24 months(with an average of 12 months). All fractures were healed. According to Harris criterion, the excellent results in 9 patients, good results in 2 patients and poor results in 1 patient were obtained. The excellent and good rate of the function of the hip joint was 91.7%. Conclusion PFNA has the advantages of less surgical trauma, stable fixation,anti-rotation and anti-cutout.So it is a useful device in the treatment of femoral intertrochanteric fracture.
Key words:  Proximal femoral nail anti-rotation  Femoral intertrochanteric fracture  Internal fixation