股骨近段钉治疗股骨转子间骨折

The treatment of femoral intertrochanteric fracture with proximal femoral nail

目的探讨股骨近段钉（PFN）治疗股骨转子间骨折的临床疗效。方法对56例股骨转子间骨折患者采用PFN进行固定，对各患者的手术时间、术中出血量、骨折愈合时间、髋关节功能、并发症进行记录分析，评价其临床疗效。结果手术时间平均66min，术中出血平均370ml。所有患者获随访，时间5～20个月。骨折平均愈合时间为12．6周；2例发生异位骨化并发症。参照Sanders髋功能评分标准：优42例，良10例，中4例，优良率达93.5％。结论PFN是治疗股骨转子间骨折的有效方法。

Objective To study the clinical result of the treatment of femoral intertrochanteric fractures with proximal femoral nail（PFN）. Methods 56 cases with femoral intertrochanteric fractures were treated with PFN. The time of surgery, blood loss, bone union time, hip function and complications have been documented to evaluate the clinical effect. Results The average time of surgery was 66 minutes. The average volume of blood loss during operation was 370 ml. All the patients were followed up for average 14. 6 months （ from 5 months to 20 months）. The average union time was 12. 6 weeks. The rate of excellent and good was 93.5% （excellent 42 cases, good 10 cases and fair 4 cases） according to the Sanders hip function assessing system. Two cases was complicated with heterogenous ossification. Conclusions PFN is the effective way to treat femoral intertrochanteric fractures.