股骨近端抗旋髓内钉治疗股骨转子周围骨折的应用研究
王炜昌;王荣生;何立文;许育东;王伟雄;杨庆;刘雄业
【期刊名称】《中国医学创新》 【年(卷),期】2015(000)013
【摘要】目的：探讨股骨近端抗髓内钉（PFNA）内固定治疗股骨转子周围骨折的手术技巧和疗效。方法：回顾性分析采用PFNA治疗股骨转子周围骨折68例。结果：所有病例均得到随访，随访时间12~37个月，平均（18.22±7.49）月，除1例发生髋内翻和1例股骨头坏死外，无股骨干骨折、螺旋刀片切割等并发症发生。根据Sanders髋关节创伤后功能评分标准，优37例，良25例，差6例，优良率达91.18%。结论：PFNA内固定治疗股骨转子周围骨折具有微创、固定可靠、操作简单、快速康复等优点，是治疗股骨转子周围骨折的首选方法。%Objective:To discuss the surgical technique and efficacy of the application of proximal femoral nail anti-rotation(PFNA)in the treatment of peritrochanteric femoral fracture. Method:Sixty-eight patients with peritrochanteric femoral fractures treated with PFNA were reviewed. Result:The follow-up time was 12 to 37 months, average was(18.22±7.49)months. Varus of hip joint occurred in one case and osteonecrosis of the femoral head in one case,however,no other complications such as femoral shaft fracture and anti-rotation screw cut through the femoral head. According to Sanders post trauma hip function score standard,the result was excellent in 37 cases,fair in 25 cases,bad in 6 cases,and the excellent and the good rate was 91.18%.
股骨近端抗旋髓内钉治疗股骨转子周围骨折的应用研究
