闭合复位股骨近端抗旋髓内钉内固定治疗老年不稳定性股骨粗隆间骨折24例分析

目的：探讨股骨近端抗旋髓内钉内固定治疗老年不稳定性股骨粗隆间骨折的疗效。方法：采用股骨近端抗旋髓内钉内固定治疗老年不稳定性股骨粗隆间骨折24例,并评价其疗效。结果：本组24例患者均获得随访,时间3~24个月;骨折均愈合,时间3~6个月;根据Harris髋关节功能评分：优16例,良5例,可3例。结论：股骨近端抗旋髓内钉内固定治疗老年不稳定性股骨粗隆间骨折,具有创伤小、固定可靠、失血少等优点,是治疗老年不稳定性股骨粗隆间骨折的有效方法。

Objective：To analysis the clinical effects of proximal femoral nail anti-rotation （PFNA） in treating intertrochanteric fractures in the aged patients. Methods：24 Case aged patients with femur intertrochanteric unstable fractures were treated with PFNA, to evaluate the effectiveness. Results： All ease were followed up 3 to 24 month aider operation. All fractures healed, 3 to 6 months. According to the Harris criterion, excellent in 16 case, good in 5 case, and fair in 3 case. Conclusion： Since PFNA fixation has the advantage of less trauma, less blood loss, stable fixation. It is a effective methods for treatment ofintertroehanteric unstable fractures in the aged patients.