抗旋股骨近端髓内针治疗老年人股骨转子间骨折

Treatment of femoral intertrochanteric fracture in aged patients with proximal femoral nail antirotation

目的评价抗旋股骨近端髓内针(PFNA)治疗老年人股骨转子间骨折的临床疗效。方法对35例老年人股骨转子间骨折患者采用PFNA内固定治疗。结果 35例均获随访,时间6～24个月,骨折临床愈合时间12～20周。末次随访时根据Harris髋关节评分:优26例,良6例,中2例,差1例,优良率达91.4%。未发生感染、股骨头切割、股骨头坏死及髋内翻畸形等并发症。结论采用PFNA治疗老年人股骨转子间骨折固定可靠,临床疗效满意。

Objective To evaluate the clinical outcomes of femoral intertrochanteric fracture in aged patients treated with proximal femoral nail antirotation（PFNA）.Methods 35 aged patients with femoral intertrochanteric fractures underwent surgical treatment with PFNA.Results 35 patients were followed up for 6～24 months and the time to union was 12～20 weeks.According to the value of Harris evaluation,the results were excellent in 26 cases,good in 6,fair in 2,and poor in 1,and the excellent and good rate was 91.4% at the final follow-up.There was no infection,lag screw cut-out,femoral head necrosis,varus deformity or other complications.Conclusions PFNA can provide effective fixation and satisfactory clinical outcomes when used for the treatment of femoral intertrochanteric fracture in aged patients.