目的:总结PFNA治疗老年股骨转子间骨折的临床疗效。方法:2007年1月至2008年3月用PFNA固定治疗老年股骨转子间不同类型骨折29例。结果:所有患者治疗优良率为93.1%,功能恢复接近伤前水平。结论: 用PFNA固定治疗老年患者股骨转子间骨折,手术操作简单,大大缩短手术时间,固定切实可靠,无断钉及髋内翻畸形发生,能使患者早期进行患肢功能锻炼及下床,大大降低长期卧床的并发症,效果满意。
Citation:
WU Gang,FANG Yue,PEI FUxing,et al. Experience of 29 Cases of PFNA for Intertrochanter Fracture of Femur in Elder People. West China Medical Journal, 2009, 24(6): 1539-1541. doi:
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- 1. 卢世璧.坎贝尔骨科手术学[M].第9版.济南:山东科学技术出版社,2001:2134.
- 2. 王亚梓,王雷,张海生,等.股骨转子间粉碎骨折:小转子必须固定吗[J]?中华创伤骨科杂志,2004,6:970971.
- 3. KYLE RF,GUSTILO RB.Premer RF.Analysis of six hundred and twentytwo intertrochanteric hip fractures[J].JB one Joint Surg(Am),1979,61:216-221.
- 4. BRIDLE SH,PATEL AD,BIRCHER M,et al.Fixation of intertrochanteric fractures of the femur a randomized prospective comp arison of the Gamma nail and the dynamic hip screw[J].J Bone Joint Surg(Br),1991,73:330.
- 5. EVAVS EM.Treatment of trochenteric fracture of the femur[J]. J Bone Joint Surg(Br),1949,3:190.
- 6. 卢世壁,王继芳,刘玉杰.粗隆间骨折分型及其内固定的方法选择[J].中华外科杂志,1989, 27(6):331.