摘要
Abstract
Objective To investigate the effect of proximal femoral nail anti-rotation(PFNA)on elderly patients with intertrochanteric fracture of femur.Methods The 27 elderly patients with femoral intertrochanteric fractures were treated with PFNA.The operation situation,fracture healing time,pain VAS,Harris score of hip function and complica-tions were recorded.Results The operative time was 50～90(79.8±11.6)min,the intraoperative blood loss was 60～100(80.5±10.2)ml,the intraoperative fluoroscopy frequency was 6～15(7.5±2.3)times,and the hospital stay was 14～29(20.4±3.7)d.All patients were followed up for 6～15(12.5±1.2)months.Pain VAS of the first week after surgery was 1～3(1.3±0.2)scores.All the fractures healed within 15～21(16.7±2.1)weeks.At 6 months after operation,the Harris scores of hip function were 76～95(86.2±9.3)points,of which 12 cases were ex-cellent,9 good,6 fair,with an excellent-good rate of 21/27.There were no cases of thrombus,ectopic ossification,and cutting,loosening or fracture of spiral blade,etc.One case suffered from distal femoral fracture of intramedullary nail.Conclusions PFNA in the treatment of elderly intertrochanteric fracture of femur has simple operation,less trauma and fast postoperative functional recovery.关键词
股骨转子间骨折/股骨近端防旋髓内钉/老年人Key words
fermoal intertrochanteric fractures/proximal femoral nail antirotation/aged分类
医药卫生
