局解手术学杂志2024，Vol.33Issue(6)：532-534,3.DOI:10.11659/jjssx.05E023144
加长股骨近端防旋髓内钉治疗Seinsheimer Ⅴ型股骨转子下骨折的疗效
Effect of lengthened proximal femoral nail anti-rotationin in the treatment of Seinsheimer type Ⅴ subtrochanteric fracture of femur
摘要
Abstract
Objective To investigate the clinical effect of lengthened proximal femoral nail anti-rotation(PFNA)in the treatment of Seinsheimer type Ⅴ subtrochanteric fracture of femur.Methods The clinical data of 21 patients with Seinsheimer type Ⅴ subtrochanteric fracture of femur treated by closed reduction or limited incision wire binding combined with lengthened PFNA in our hospital from January 2020 to August 2022 were retrospectively analyzed.The fracture healing status,treatment effect,postoperative complications and Harris score of hip joint function at the last postoperative follow-up of patients were recorded and evaluated.Results All patients were followed up for 6 to 12 months,and the fractures healed well.There were no cases of internal fixation breakage or cutting,no cases of vascular injury,and 1 case of ectopic ossification.At the last follow-up,the hip joint function was excellent in 15 cases,good in 4 cases and fair in 2 cases,with an excellent and good rate of 90.48％.Conclusion Lengthened PFNA can effectively treat Seinsheimer type Ⅴ subtrochanteric fracture of femur,and minimally invasive steel wire cerclage is performed when the closed reduction is not ideal,which has the advantages of less trauma,fast fracture healing,fewer postoperative complications and good recovery of hip joint function,and is worthy of clinical promotion and application.关键词
加长股骨近端防旋髓内钉/Seinsheimer Ⅴ型股骨转子下骨折/微创钢丝环扎Key words
lengthened proximal femoral nail anti-rotation/Seinsheimer type Ⅴ subtrochanteric fracture of femur/minimally invasive steel wire cerclage分类
医药卫生引用本文复制引用
华长城,杨飞,孙治强,王小合..加长股骨近端防旋髓内钉治疗Seinsheimer Ⅴ型股骨转子下骨折的疗效[J].局解手术学杂志,2024,33(6):532-534,3.基金项目
安徽医科大学校科研基金项目(2021xkj220) （2021xkj220）
