股骨近端防旋髓内钉治疗老年股骨转子间骨折
The proximal femoral nail anti-rotation for treatment of elderly femoral intertrochanteric fractures
严纯 1曹勇1
作者信息
- 1. 海安市人民医院骨科,江苏 南通 226600
- 折叠
摘要
目的 探讨股骨近端防旋髓内钉(PFNA)治疗老年股骨转子间骨折的疗效.方法 采用PFNA治疗50例老年股骨转子间骨折患者.记录手术情况、骨折愈合情况、疼痛VAS评分以及髋关节功能Harris评分.结果 患者均获得随访,时间10～14 个月.手术时间 40～75(64.2±8.8)min,术中出血量 45～100(76.5±10.2)ml,术中透视10～20(13.2±2.1)次,住院时间5～10(7.4±1.8)d.除 1 例发生内固定失效,进行二次手术外,其余患者骨痂形成时间1.5～3.0(2.2±0.3)个月,骨折愈合时间4.0～5.0(4.3±0.4)个月.末次随访时,疼痛VAS评分0～2(1.2±0.2)分;髋关节功能Harris评分55～90(82.1±7.2)分,其中优 12 例,良 18例,可13 例,差7 例.结论 采用PFNA治疗老年股骨转子间骨折固定牢靠,能够改善髋关节功能,临床疗效确切.
Abstract
Objective To investigate the effect of proximal femoral nail anti-rotation(PFNA)for treatment of elderly femoral intertrochanteric fracture.Methods The 50 elderly patients with femoral intertrochanteric fractures were trea-ted with PFNA.Surgical conditions,fracture healing status,pain VAS and Harris score of hip function were recorded.Results All patients were followed up for 10～14 months.The operative time was 40～75(64.2±8.8)min,the in-traoperative blood loss was 45～100(76.5±10.2)ml,the intraoperative fluoroscopy frequency was 10～20(13.2±2.1)times,and the hospital stay was 5～10(7.4±1.8)d.The callus formation time of the other patients was 1.5～3.0(2.2±0.3)months,except 1 case was performed secondary operation due to the internal fixation failure,and the time of fracture healing was4.0～5.0(4.3±0.4)months.At the last follow-up,the pain VAS was0～2(1.2±0.2)points.The Harris scores of hip function was 55～90(82.1±7.2)points,of which 12 cases were excellent,18 good,13 fair,and 7 poor.Conclusions PFNA treatment of elderly femoral intertrochanteric fracture is reliable,which can improve hip function,the clinical effect is accurate.
关键词
股骨转子间骨折/股骨近端防旋髓内钉/骨质疏松/老年人Key words
femoral intertrochanteric fractures/proximal femoral nail anti-rotation/osteoporosis/aged引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据