中国医科大学学报2011，Vol.40Issue(5)：469-471,474,4.DOI:CNKI:21-1227/R.20110523.1815.020
采用PFN/PFNA治疗股骨粗隆下骨折的回顾性研究
Application of PFN/PFNA in Treatment of Subtrochanteric Fractures
杨军 1高杨杨 1顾海伦 1李建军1
作者信息
- 1. 中国医科大学附属盛京医院脊柱创伤骨科,沈阳,110004
- 折叠
摘要
Abstract
Objective To evaluate the clinical outcome of PFN/PFNA in treatment of subtrochanterie fractures. Methods There were 36 patients with traumatic subtrochanteric fractures from January 2005 intramedullarily fixed with PFN/PFNA.The patients included 22 males and 14 females at a mean age of 45 years (range 16 to 86 years). According to Seinsheimer classification of subtroehanteric fractures,4 patients were with type Ⅱ fractures (including one patients with type ⅡA,two with typeⅡ B and one with type ⅡC),16 with type Ⅲ fractures(including ten with type ⅢA and six with typeⅢB), 10 with type Ⅳ fractures and 6 with type Ⅴ fractures. Close reduction was performed under traction and C-arm fluoroscopy in 32 patients and open reduction through a mini-incision before inserting the nail in five patients due to difficult close reduction. Results Of all,34 patients (94.4％,34/36) were followed up for a mean duration of 18 months (range 3 to 36 months),which showed fracture union in all patients,with a mean union period of 4.5 months(range 3.5 to 7.5 months). According to Modified Harris Hip Scale,the results were excellent in 25 patients,good in 5 and fair in 4, with excellence rate of 88.2％ (30/34). Conclusions PFN/PFNA is an effective device for treatment of subtrochanteric fracture,with a high union rate and a low complication rate. It has advantages of easy use and minor trauma, low bleeding potential and stable fixation ability in operation.关键词
股骨粗隆下骨折/闭合复位/PFN/PFNAKey words
subtrochanteric femoral fractures/ close reduction/ PFN/PFNA分类
医药卫生引用本文复制引用
杨军,高杨杨,顾海伦,李建军..采用PFN/PFNA治疗股骨粗隆下骨折的回顾性研究[J].中国医科大学学报,2011,40(5):469-471,474,4.
