摘要
目的:探讨股骨近端防旋髓内钉(PFNA)微创治疗老年患者股骨转子间骨折的临床疗效。方法:回顾性分析2008年2月~2009年8月收治的58例62岁以上老年不稳定型股骨转子间骨折患者进行PFNA治疗的临床资料。按照Tronzo-Evans分型:I型6例,Ⅱ型11例,Ⅲ型25例,Ⅳ型16例,闭合复位并小切口置入PFNA。结果:手术时间28.7~66.3 min,平均48.7 min。术中出血量62~200 mL,平均100.3 mL。47例随访6~13个月,平均7.5月,骨折全部愈合,愈合时间为3.2~7.4个月,平均4.1个月。1例出现下肢深静脉血栓,3例出现髋内翻。余未出现其它并发症,髋、膝及踝关节功能良好。结论:PFNA治疗老年人不稳定型股骨转子间骨折。具有操作简单、创伤小、骨折固定牢固、并发症少及术后患者可早期离床负重等优点。
Objective: To investigate the curative effect of proximal femoral nail anti-rotation(PFNA) in treatment of femoral intertrochanteric fractures in the elderly.Methods: Retrospective analysis clinical data from February 2008 to August 2009,58 unstable femoral intertrochanteric fractures patients over 62 years old were treated with PFNA.The distribution of Tronzo-Evans stages was stage Ⅰ in 6 hips,stage Ⅱ in 11 hips,stage Ⅲ in 25 hips,and stage Ⅳ in the remaining 16 hips.They were closed replacement and then inserted PFNA with mini-incision.Results: The average operation time was 48.7 mins(range 28.7~66.3mins),and the average blood loss was 100.3ml(range 62~200ml).Forty-seven cases were followed up for 7.5 months averagely(range 6~13 months).They were all fractures healed,and the bone healing time was 4.1 months averagely(range 3.2~7.4 months).Unfortunately,one case appeared deep vein thrombosis and 3 cases appeared coxa vara.The others' hip,knee,and ankle joints function were well without any complications. Conclusion: PFNA is effective for unstable femoral intertrochanteric fractures in the elderly for it is characterized by simple operation,minimal trauma,stable fixation,and fewer complications,early to begin weight bearing post-operation,and so on.
出处
《中国中医骨伤科杂志》
CAS
2011年第3期23-24,28,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
股骨近端防旋髓内钉
股骨转子间骨折
老年患者
Proximal femoral nail anti-rotation
Intertrochanteric fracture
Elderly patients