30例80岁以上高龄股骨转子间骨折的治疗体会

Experience in treatment of intertrochanteric fractures in 30 cases age over 80 years

目的观察30例闭合复位股骨近端防旋髓内钉(PFNA)治疗80岁以上高龄股骨转子间骨折的临床效果,总结围手术期处理及手术的经验体会。方法回顾性分析2017年10月至2019年2月间大理大学第一附属医院关节外科收治的30例采用PFNA治疗的80岁以上高龄股骨转子间骨折患者资料,进行术后随访并采用Harris髋关节功能评分标准评估治疗效果。结果30例患者全部获得随访,时间为(10±2)个月。30例患者骨折愈合,按Harris评分标准,优19例,良7例,可4例,差0例,优良率86.67%。结论PFNA内固定治疗80岁以上高龄股骨转子间骨折的疗效确切,C臂透视下的微创手术,是高龄患者早期功能锻炼及早期下床的基础保障,提高高龄患者的生活质量及临床疗效,降低死亡率,是治疗老年股骨转子间骨折的有效方法。

Objective To observe the clinical effect of 30 cases of closed reduction proximal femoral nail antirotation(PFNA)in the treatment of intertrochanteric fractures of patients over 80 years old,and to summarize the clinical experience.Methods A retrospective study from October 2017 to February 2019 the data of 30 cases with intertrochanteric fracture treated with PFNA in the First Affiliated Hospital of Dali University were followed up for postoperative follow-up and evaluated by Harris scoring criteria.Results All 30 cases obtained follow-up period was(10±2)months.Fracture healed in 30 patients,according to Harris scoring criteria,19 cases were excellent,seven were good,four were fair,no case was poor.The excellent and good rate was 86.67%.Conclusion PFNA internal fixation treatment the curative effect of intertrochanteric fracture over 80 years old is definite,and it is the basic guarantee for early functional exercise and early getting out of bed in elderly patients.