膨胀股骨近端髓内钉配合中药治疗老年股骨转子部骨折

Inflated Thighbone Proximal Fixation PFN and TCM Treat Senile Intertrochanteric Fracture

[目的]探讨膨胀股骨近端髓内钉(FixionPFN)固定配合三期中药内服治疗老年股骨转子间骨折的疗效。[方法]采用膨胀股骨近端髓内钉固定配合中药内服治疗老年股骨转子间骨折患者46例。[结果]1例发生术中股骨粗隆骨折部再骨折,1例术后死于肺部感染,1例发生髋内翻,1例发生膨胀钉松动,其余患者皆获满意疗效。术后髋关节功能恢复优良率达88.7%。[结论]PFN具有手术时间短、出血少且固定牢靠的优点,适用于老年股骨转子部骨折的治疗。

[Objective] To explore the cure effect of PFN fixation coordinated with 3-phase oral taking TCM on senile intertrochanteric fracture.[Method]Take the said method for 46 cases,observe operation time,bleeding in operation,walk time after operation,fracture cure time and score of hip function.[Result]After following up for 6~20m,11.8m in average,1 had re-fracture of throchanteric,1 died of pulmonary infection,1 had coxa adducta,1 loose PFN,others had satisfying cure effect.The operation time was 68.8min,average bleeding 401.6ml, post-operation incision drainage 58.2ml;coxa functional recovery excellence rate 88.7%.[Conclusion]PFN has advantages of short operation time,less bleeding and solid and stable,fit for senile intertrochanteric fracture;coordination of TCM can promote fracture cure.