临床骨科杂志2024，Vol.27Issue(6)：843-847,5.DOI:10.3969/j.issn.1008-0287.2024.06.024
螺旋刀片不同位置对股骨近端防旋髓内钉治疗老年股骨转子间骨折效果的影响
Influence of different spiral blade position on the effect of proximal femoral nail anti-rotation for femoral intertrochanteric fractures in the elderly
摘要
Abstract
Objective To investigate the infulence of spiral blade position on the curative effect of proximal femoral nail anti-rotation(PFNA)for treatment of elderly intertrochanteric fractures.Methods The 100 elderly patients with elderly intertrochanteric fractures were divided into group A(50 cases were treated by PFNA with spiral blades placed in the middle of the femoral head-neck)and group B(50 cases were treated by PFNA with spiral blades placed in the middle and lower one-third of the femoral head-neck),according to different positions of spiral blades.The quality of fracture reduction,top apex distance(TAD),spiral blade nail tail protruding length,fracture healing time,start time of partial weight-bearing walking and postoperative complications were compared between the two groups.The clinical effect was evaluated by hip Harris score.Results All patients in both groups were followed up for 6～24 months.There were no statistical differences in the quality of fracture reduction,TAD,fracture healing time,start time of partial weight-bearing walking,incidence of postoperative complications and Harris score of hip joint at various time-point be-tween the two groups(P＞0.05).Group A was longer than group B in the protruding length of spiral blade nail tail(P＜0.01).Conclusions During PFNA for treatment of elderly femoral intertrochanteric fractures,whether the spi-ral blade is placed in the middle of the femoral head and neck or the middle and lower 1/3,as long as firm fixation can be achieved,there is no difference in clinical efficacy.关键词
股骨转子间骨折/股骨近端防旋髓内钉/螺旋刀片/位置/老年人Key words
femoral intertrochanteric fractures/proximal femoral nail anti-rotation/spiral blade/position/aged分类
医药卫生引用本文复制引用
毕红宾,李岩,杨亚丽,邢庆胜..螺旋刀片不同位置对股骨近端防旋髓内钉治疗老年股骨转子间骨折效果的影响[J].临床骨科杂志,2024,27(6):843-847,5.基金项目
河南省卫健委国家中医临床研究基地科研专项(编号:2021JDZX2133) （编号:2021JDZX2133）
