股骨近端防旋髓内钉治疗老年股骨粗隆间骨折的疗效分析

Efficacy of Proximal Femoral Anti-rotation Intramedullary Nail in the Treatment of Elderly Femoral Intertrochanteric Fractures

目的:回顾性分析股骨近端防旋髓内钉(Proximal Femoral Nail Antirotation,PFNA)治疗股骨粗隆间骨折的临床疗效及并发症发生率。方法:选取我院2018年1月-2020年6月行PFNA内固定治疗的股骨粗隆间骨折患者40例,随访进行效果评估及并发症统计。结果:40例患者随访时间至少6个月,均获得临床愈合、功能良好;A1型、A2型、A3型患者手术时间、术中出血量、骨折愈合时间无显著差异(P>0.05);相关并发症有肺部感染、深静脉血栓、尿路感染,均经相应处理后好转;术后Harris评分优良率占85.00%。结论:PFNA治疗股骨粗隆间骨折有良好效果,手术出血量少、手术时间短,术后骨折愈合效果好。

Objective:To retrospectively analyze the clinical efficacy and complication rate of proximal femoral nail antirotation(PF-NA)in the treatment of femoral intertrochanteric fractures.Methods:From January 2018 to June 2020,40 patients with femoral intertro-chanteric fractures who underwent PFNA internal fixation in our hospital were selected.Results:The 40 patients were followed up for at least 6 months,and all of them achieved clinical healing and good function;there was no significant difference in the operation time,intr-aoperative blood loss,and fracture healing time between patients with type A1,type A2,and type A3(P>0.05).Complications includ-ed pulmonary infection,deep vein thrombosis,and urinary tract infection,all of which improved after corresponding treatment;the excel-lent and good rate of Harris score after operation accounted for 85.00%.Conclusion:PFNA has good effect in the treatment of femoral intertrochanteric fracture,with less blood loss,shorter operation time and better postoperative fracture healing effect.