PFNA治疗老年不稳定型股骨粗隆间骨折疗效分析

Analysis of therapeutic efficacies on the proximal femoral nail anti-rotation (PFNA) in the treatment of elderly patients with unstable femoral intertrochanteric fracture

目的 探讨改良股骨近端防旋髓内钉（PFNA）治疗老年人股骨粗隆间骨折的临床疗效.方法 选择医院2012年3月-2013年3月收治的82例老年股骨粗隆间骨折患者,均采用改良股骨近端防旋髓内钉（PFNA）方法治疗并观察疗效.结果 所有病例术后随访6个月,骨折全部愈合.愈合时间11.5～20.5周（平均14.3周）.髋关节功能标准评定优49例,良20例,可9例,差4例,优良率为84.1％.结论 PFNA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,是治疗老年人不稳定型股骨粗隆间骨折的理想方法.

Objective To explore the therapeutic efficacies on PFNA in the treatment of elderly patients with unstable femoral intertrochanteric fracture. Methods 82 eldery patients with femoral intertrochanteric fracture received fixation of PFNA were all applied proximal femoral nail anti-rotation （PFNA） and analyzed retrospectively from March 2012 to March 2013. Results All cases were post-operation follow-up 6 months, bone union, range from 11.5 weeks to 20.5 weeks （averagel4.3 months）. According to Harris hip joint functional criteria, excellent was in 49 cases, good in 20 cases, fair in 9 case and poor in 4 cases. The excellent and good rate was 84.1%. Conclusion PFNA fixation technique is a good method for treatment of elderly patients with unstable femoral intertrochanteric fracture.