经皮股骨近端防旋髓内钉治疗老年股骨粗隆间骨折的效果观察

Effect observation of percutaneous femoral proximal screw intramedullary nail treatment of the elderly femoral intertrochanteric fractures

目的观察股骨近端防旋髓内钉治疗老年股骨粗隆间骨折的临床效果。方法选取2010年3月～2012年12月本科收治的30例老年股骨粗隆间骨折患者为研究对象。均采用股骨近端防旋髓内钉治疗，采用Harris评分系统对其髋关节功能进行评价。结果27例获得12个月以上的随访，随访时间12-36个月，平均21个月，术后定期复查X线片，未见内固定松动、断裂、髋关节活动受限、股骨头塌陷、骨不连，髋关节内、外翻畸形，下肢短缩、螺旋刀片切割股骨头、感染等并发症。髋关节Harris评分：优19例，良6例，可2例，优良率为92．59％。结论股骨近端防旋髓内钉治疗老年股骨粗隆间骨折，符合微创治疗原则、手术操作简单、固定可靠、术后并发症少等，临床疗效满意。

Objective To observe the clinical effect of percutaneous femoral proximal screw intramedullary nail treatment of the elderly femoral intertrochanteric fractures. Methods 30 patients with elderly femoral intertrochanteric fractures in our hospital from March 2010 to December 2012 were selected as the research object,they all given the percutaneous femoral proximal screw intramedullary nail treated,the Harris scoring system was used to evaluate its hip joint function. Results 27 cases followed-up for more than 12 months,followed up for 12 to 36 months,an average of 21 months,postoperative X-ray film,periodic review did not see limited internal fixation loosening and fracture,hip activities,in the collapse of the femoral head bone nonunion,hip,valgus,lower limb shortening,spiral blade cutting femoral head,complications such as infection.Harris hip score：excellent in 19 cases,good in 6 cases,approve in 2 cases,the excellent and good rate was 92.59%. Conclusion pereutaneous femoral proximal screw intramedullary nail treatment of the elderly femoral intertroehanteric fractures,conform to the principle of minimally invasive treatment,simple operation, reliable fixation,less postoperative complications,clinical curative effect is satisfied.