临床骨科杂志Issue(2)：198-200,3.DOI:10.3969/j.issn.1008-0287.2015.02.023
股骨近端防旋髓内钉螺旋刀片位置对老年股骨转子间骨折疗效的影响
Impact of helical blade positions on therapy effects of elderly femoral intertrochanteric frac-tures treated with proximal femoral nail antirotation
丁克海 1周其佳 1孙月柏 1左松球 1王庆刚1
作者信息
- 1. 阜宁县人民医院骨科，江苏 阜宁 224400
- 折叠
摘要
Abstract
Objective To investigate the impact of helical blade positions on therapy effects of elderly femoral inter-trochanteric fractures treated with proximal femoral nail antirotation(PFNA). Methods 92 elderly femoral intertro-chanteric fractures receiving PFNA retrospectively were analyzed. All patients were divided into C/ C group (44 ca-ses), the helical blade of which were at the center of the femoral head in both anteroposterior and lateral views, and I/ C group (48 cases), the helical blade of which was at the inferior one third of the femoral head in anteroposterior view and at the center in lateral view. The above two groups were compared in terms of fracture healing and recovery, full weight bearing time, tip-apex distance(TAD), fracture healing time, postoperation complication occurrence, and Harris Hip Score (HHS) at the follow-up 6 months after operation. Results There were no significant differences between those two groups regarding fracture healing and recovery, full weight bearing time, TAD, fracture healing time, postoperation complication occurrence, and HHS at the follow-up 6 months after operation (P > 0. 05). The average TAD after operation was (22. 07 ± 2. 84) mm in C/ C group and (25. 29 ± 3. 41) mm in I/ C group, and the difference was significant ( P < 0. 05). Conclusions The above two helical blade positions can achieve similar effects for elderly femoral intertrochanteric fractures with PFNA,but the TAD are different between two groups.关键词
股骨转子间骨折/股骨近端防旋髓内钉/螺旋刀片/安置位置Key words
femoral intertrochanteric fractures/proximal femoral nail antirotation/helical blade/position分类
医药卫生引用本文复制引用
丁克海,周其佳,孙月柏,左松球,王庆刚..股骨近端防旋髓内钉螺旋刀片位置对老年股骨转子间骨折疗效的影响[J].临床骨科杂志,2015,(2):198-200,3.
