四川医学2011，Vol.32Issue(12)：1953-1955,3.
股骨近端防旋髓内钉治疗股骨转子间骨折
Treatment of intertrochanteric fractures fractures with the proximal femoral nail antirotation
尚宪平 1王小岗 1银保1
作者信息
- 1. 都江堰市人民医院骨科,四川都江堰611830
- 折叠
摘要
Abstract
Objective To explore the clinical outcome of intertrochanteric fractures with the proximal femoral nail anti-rotation ( PFNA). Methods Twenty-two patients for intertochanteric fractures of the femur were treated with the proximal femoral nail anti-rotation from March 2009 to March 2011. The fractures were reducted with closed reduction technique and fixed with the proximal femoral nail anti-rotation . Results The mean operative time was 65 min (50 ~ 90min). The mean operative blood loss was 270ml (150 ~ 500ml). Reaming in 6 cases andunreaming in 16 cases during operative procedure . With static distal locking nail in 18 cases and without distal locking nail in 4 cases . The median time to partical weight-bearing was 9d(6 - 24d). The mean duration of follow up was 9. 5 months (6 ~ 13months). The wound healing was smoothly in 22 patients. The average time of fracture heaking was5. 2 months (4 ~ 8months). The postoperative function was recovered to premorbid status in all patients. One patient occurred the migration of cut-out of lag screw postoperatively. One patient suffered varus deformity in 13° due to the lateral entrying pointof the main nail . Conclusion The proximal femoral nail anti-rotation can fixed intertrochanteric fractures safely . With a mina-mally invasive,shorter operative time ,less bleeding, anti-rotation capability, can be an early postoperative functional exercise,less complications,is the treatment of intertrochanteric fractures as a good way.关键词
股骨转子间/骨折固定术/内固定器Key words
intertrochanteric/fracture fixation/ internal fixators分类
医药卫生引用本文复制引用
尚宪平,王小岗,银保..股骨近端防旋髓内钉治疗股骨转子间骨折[J].四川医学,2011,32(12):1953-1955,3.
