股骨近端防旋髓内钉治疗股骨转子周围骨折

Application of proximal femoral nail anti-rotation in treatment of peritrochanteric femoral fracture

目的:探讨股骨近端防旋髓内钉(PFNA)内固定治疗股骨转子周围骨折的临床疗效及其相关问题。方法:回顾性分析采用PFNA治疗的47例股骨转子周围骨折患者的术后骨折愈合及并发症情况。结果:所有病例均得到随访,随访时间平均12个月,骨折全部临床愈合,除1例发生髋内翻外,无股骨干骨折等并发症发生。根据Harris髋关节评分标准,优31例,良12例,可3例,差1例,优良率达91.5%。结论:PFNA内固定治疗股骨转子周围骨折具有手术创伤小、固定可靠,能促进骨折早期愈合、患者早期下地行走康复等优点,是治疗股骨转子周围骨折理想的方法。

Objective： To discuss the clinical effect and related problem of the application of proximal femoral nail anti - rotation（ PF- NA） in the treatment of peritrochanteric femoral fracture. Methods： Forty - seven cases of peritrochanteric femoral fractures treated with PFNA were reviewed. Results：The follow -up time was 3 to 24 months（ average 12 months）. Varus of hip joint occurred in one case, however,no other complications such as femoral shaft fracture and anti - rotation screw cut through the femoral head. According to Harris hip rate scale system,the results were excellent in 31 cases,good 12,fair in 3 ,bad in 1 ,and the excellent and the good rate was 91.5%. Conclusion： PFNA might be one of the useful devices in the treatment of peritrochanteric femoral fractures .