摘要
目的评价防旋股骨近端髓内针（PFNA）治疗老年人股骨转子间骨折的临床疗效。方法35例老年人股骨转子间骨折采用PFNA内固定治疗。结果35例均获随访，时间9—24个月，骨折，1当床愈合时间10-22周。末次随访时根据Harris髋关节评分：优27例，良5例，中2例，差1例，优良率达91．4％。未发生感染、股骨头切割、股骨头坏死及髋内翻畸形等并发症。结论采用PFNA治疗老年人股骨转子间骨折固定可靠，临床疗效满意。
Objective To evaluate the chnical outcomes of femoral intertrochanteric fracture in aged patients with proximal femoral nail antirotation（PFNA）. Methods 35 aged patients with femoral intertrochantefic fractures underwent surgical treatment with PFNA. Results 35 patients were followed up for 9 - 24 months and the lime to union was 10 - 22 weeks. According to the value of Harris evaluation,the results were excellent in 27 eases,goed in 5 cases,media in 2 cases,poor in 1 case and the excellent and good rate was 91.4% at the final follow-up.There was no infection,lag screw cut-out,femoral head necrosis, varus deformity and other comphcations. Conclusion PFNA can provide effective fixation and satisfactory clinical outcomes when used for the treatment of femoral intertrochanteric fracture in aged patients.
出处
《常州实用医学》
2011年第2期86-87,共2页
CHANGZHOU PRACTICAL MEDICINE
关键词
股骨骨折
骨折固定术
内
老年人
femoral fractures
fracture fixation, internal
aged
