股骨近端防旋髓内钉治疗老年人股骨转子间骨折疗效分析

Clinical effect of proximal femoral nail anti-rotation on femoral intertrochanteric fracture in the elderly

目的 探讨股骨近端防旋髓内钉（PFNA）治疗老年人股骨转子间骨折的疗效. 方法 回顾2007年6月至2012年3月在我院收治的老年股骨粗隆间骨折患者应用PFNA治疗87例,其中稳定骨折47例,不稳定骨折40例. 结果87例患者随访5～14个月,平均7.2个月,院内无死亡.手术时间25 min,术中出血量平均80 ml,下地行走时间5.5d,骨折愈合时间平均为22周,术中复位、术后刀片位置,稳定骨折组较不稳定骨折组好（P＜0.0）1）. 结论 PFNA是治疗老年患者股骨粗隆间骨折的有效方法之一,手术时间短,术中出血量少,早期下地,无短期并发症.

Objective To investigate the clinical effect of proximal femoral nail anti-rotation （PFNA） on femoral intertrochanteric fracture in the elderly.Methods Eighty-seven elderly patients from June 2007 to March 2012,who had femoral intertrochanter fracture and received treatment of PFNA,were enrolled in this study.Patients were comprised by forty seven people with stable fracture and forty people with unstable fracture.Results They were all followed up from 4.5months to 14 months,with the average time of 7.2 months.No death were found in hospital.The operation time was 25 min in average.During operation,losing blood was 80 ml.Ambulation time was 5.5 d,and the fracture healing time was 22 weeks in average.However,there were significant differences in intraoperative resetpostoperative position of the blade between the stable and unstable fracture patients （P＜0.01）.Conclusions PFNA is one of the effective methods in the treatment of intertrochanter fracture,and it has shorter operation time,less losing blood,earlier ambulation,and hardly has complications.