摘要
目的:探讨闭合复位下防旋股骨近端髓内钉( PFNA)治疗老年不稳定型股骨粗隆间骨折的疗效。方法对36例老年股骨粗隆间不稳定型骨折采用闭合复位PFNA固定,术后积极抗骨质疏松治疗,早期指导患者功能康复锻炼,出院后对患者骨折愈合情况及髋关节功能进行随访。结果36例患者均获得随访12~18个月,平均15个月,所有患者骨折均愈合,无髋内翻畸形病例,骨折愈合时间3~7个月,平均4.1个月,末次随访患者髋关节功能Harris评分优16例,良18例,可2例。结论闭合复位PFNA治疗老年不稳定型股骨粗隆间骨折具有创伤小,对骨折端血运破坏小,固定牢靠,防旋转及支撑能力强,促进患者早期康复等优点,是目前治疗老年不稳定型股骨粗隆间骨折行之有效的方法。
Objective To explore the efficacy of closed reduction and internal fixation using proximal femoral nail antirotation ( PFNA) to treat elderly patients with unstable intertrochanteric femoral fractures .Methods A total of 36 elderly patients with unstable intertrochanteric femoral fracture were subjected to closed reduction and internal fixation u -sing PFNA.After operation , active treatment was provided to prevent osteoporosis , while early guidance about rehabilita-tion exercise was given for better physiological function .All patients were followed up after discharge to assess their frac-ture healing and hip joint function .Results All patients were followed up for 12 to 18 months, with an average of 15 months.All fractures were healed , without coax varus deformity .The fracture healing time was 3 to 7 months, with an average of 4.1 months.In the last follow-up visits, 16 patients, 18 patients and 2 patients were assessed excellence , goodness and fairness in Harris function scores , respectively .Conclusion Closed reduction and internal fixation using PFNAs can be adopted to treat elderly patients with unstable intertrochanteric fractures , with small incision and little damage to fracture-end blood supply .The approach can provide strong fixation and supporting against rotation and pro-motes recovery at early stage , which can be widely applied in clinical practice .
出处
《徐州医学院学报》
CAS
2016年第3期160-162,共3页
Acta Academiae Medicinae Xuzhou
基金
基金项目:徐州市科技项目(XZZD1234)
江苏省“六大人才”高峰2012资助项目(WSN-081)
关键词
闭合复位
股骨粗隆间不稳定型骨折
防旋股骨近端髓内钉
closed reduction
unstable intertrochanteric femoral fracture
proximal femoral nail antirotation