摘要
目的:研究分析股骨近端防旋刀片髓内钉(PFNA)内固定治疗老年股骨转子间骨折的临床效果。方法:收治老年股骨转子间骨折患者38例,给予PFNA内固定进行治疗,观察患者的Harris髋关节功能评分。结果:38例患者的手术切口顺利愈合,术后X片检查显示,骨折处对线良好。随访7~18个月,平均11个月,骨折均愈合,根据Harris髋关节功能评分标准,优26例,良10例,差2例,总优良率94.7%。结论:PFNA内固定治疗老年股骨转子间骨折疗效确切,X线透视下的微创手术,有利于软组织修复和骨折愈合,提高患者的生活质量及临床疗效,是治疗老年股骨转子间骨折的有效方法。
Objective:To study and analyze the clinical effect of proximal femoral nail antirotation(PFNA)internal fixation for the treatment of femoral intertrochanteric fractures in the elderly.Methods:38 elderly patients with femoral intertrochanteric fractures were selected.They were treated with PFNA internal fixation.We observed the patients'Harris score of hip joint function.Results:38 cases of patients with healed incision operation,postoperative X examination showed that the fracture was good on the line, follow up for 7~18 months,average 11 months,all fractures healed.According to the Harris hip score,26 cases were excellent,good in 10 cases,poor in 2 cases,the total excellent rate was 94.7%.Conclusion:The effect of PFNA internal fixation in the treatment of senile intertrochanteric fracture is curative,minimally invasive surgery under X-ray fluoroscopy,and help the soft tissue repair and healing,improve quality of life and clinical effect in patients.It is an effective method for the treatment of intertrochanteric fractures in the elderly.
出处
《中国社区医师》
2015年第24期47-47,49,共2页
Chinese Community Doctors
关键词
股骨转子间骨折
股骨近端防旋髓内钉
内固定
Femoral intertrochanteric fracture
Proximal femoral nail antirotation
Internal fixation