临床骨科杂志2013,Vol.16Issue(2):192-193,2.DOI:10.3969/j.issn.1008-0287.2013.02.031
股骨近端螺旋刀片抗旋髓内钉内固定治疗高龄不稳定型股骨转子间骨折
Proximal femoral nail anti-rotation internal fixation in the treatment of the elderly unstable femoral intertrochanteric fracture
郭斌 1徐春程 1王兴瑶 1陈俊武 1吴孩超 1屠春晖 1杨建成1
作者信息
摘要
Abstract
Objective To investigate the proximal femoral nail anti-rotation(PFNA) internal fixation effect in treatment of elderly patients with unstable intertrochanteric fractures. Methods 36 cases of elderly unstable intertrochanteric fractures were treated with PFNA internal fixation. Results All the patients obtained 6~36 months follow-up, all got fracture healing, and the healing time were 8~18 weeks. No infection, fat embolism, pulmonary embolism, deep venous thrombosis, coxa vara, cutting and other complications were found. Hip joint function according to Harris score was 88~96(92 ±3. 6) , and all patient got satisfaction. Conclusions PFNA internal fixation in treatment of elderly patients with unstable intertrochanteric fracture has the advantages of simple operation, less trauma, stable fixation, which is consistent with the principle of biological fixation. With less complications, patients can sit up. Early postoperative functional restoration can be abtained.关键词
股骨转子间骨折/股骨近端螺旋刀片抗旋髓内钉/骨折固定术,内/老年人Key words
femoral intertrochanteric fractures/ proximal femoral nail anti-rotation/ fracture fixation, internal/ aged分类
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郭斌,徐春程,王兴瑶,陈俊武,吴孩超,屠春晖,杨建成..股骨近端螺旋刀片抗旋髓内钉内固定治疗高龄不稳定型股骨转子间骨折[J].临床骨科杂志,2013,16(2):192-193,2.