四川医学2012，Vol.33Issue(2)：302-304,3.
防旋股骨近端髓内钉治疗股骨转子间骨折
Treatment of Femoral intertrochanteric fractures with the proximal femoral nail anti-rotation
李越 1杨光毅 1王宏 1李志荣1
作者信息
- 1. 雅安市中医医院骨科,四川雅安625000
- 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 period from injury to operation was 4. 5d days on average, ranging from 2 to 17days. The postoperative hip radiographs and the patient's satisfaction were evaluated. The fractures were reducted with closed reduction technique and fixed with the proximal femoral nail anti-rotation . Results All patients were followed up for 6 to 13 months (mean, 9. 5 months). The median time to partical weight-bearing was 7 weeks (6 ~8 weeks). The average time of fracture heaking was5. 2 months (4 ~8months). According to Harris evaluation,8 excellent, 10 good and 4 fair, excellent and good, rated were 81.8%. 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 effectively 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
femoral intertrochanteric/fracture fixation/internal/internal fixators分类
医药卫生引用本文复制引用
李越,杨光毅,王宏,李志荣..防旋股骨近端髓内钉治疗股骨转子间骨折[J].四川医学,2012,33(2):302-304,3.
