PFNA治疗老年股骨粗隆间不稳定骨折疗效分析

Curative Effect Analysis of Elderly Unstable Intertrochanteric Fracture with PFNA

目的：评价防旋转股骨近端髓内针治疗股骨粗隆间不稳定骨折的临床疗效。方法：对使用PFNA内固定治疗的22例股骨粗隆间骨折的分类、手术方法、术后结果进行疗效分析。结果：所有患者均进行11~26个月的随访,平均随访时间13个月。骨折全部临床愈合。按关节评分：优16例,占73%,良4例,占18%,可2例,占9%,优良率90.9%。结论：PFNA治疗老年股骨粗隆间不稳定骨折,具有手术操作简单、创伤小、固定可靠的特点,是内固定治疗股骨粗隆间不稳定骨折的比较理想方法。

Objective： To evaluate proximal femoral nail anti-rotation（PFNA） in the treatment of unstable intertrochanteric fracture. Methods： The classifications,operation approachs and post-operative effects were assessed in the 22 patients of intertrochanter fracture of femur treated with PFNA.Results： All cases were followed up from 11 to 26 months after operations（average 13 months）. The post-operative follow-up study showed that all the cases were fracture healed,under the joint scores,16 cases were excellent（73%）,4 cases were good（18%）,2 cases were normal（9%）,the excellent rate was 90.9%.Conclusion： Treatment of elderly unstable intertrochanteric fracture of with PFNA was an ideal approach with simple operation,less trauma,reliable fixation.