股骨近端抗旋髓内钉在老年股骨粗隆间骨折治疗中的应用_West China Medical Journal

Authors：

魏朝阳 , 赵文 , 周忠鸿

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Keywords：

老年; 股骨粗隆间骨折; 股骨近端抗旋髓内钉

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目的　总结股骨近端抗旋髓内钉（PFNA）治疗老年股骨粗隆间骨折的疗效。方法　2008年2月－2010年12月应用PFNA治疗老年股骨粗隆间骨折36例，男16例，女20例；年龄65～89岁，平均77.2岁。致伤原因：摔伤29例，交通事故伤7例。左侧27例，右侧9例。骨折按AO分型：31-A1型6例，31-A2型22例，31-A3型8例。受伤至手术时间3～12 d，平均5 d。结果　治疗后30例获随访，随访时间7～18个月，平均9个月，骨折全部愈合，愈合时间12～19周，平均14周。术后Harris髋关节功能评分：优23例，良6例，差1例，优良率 96.7%。结论　PFNA 治疗老年股骨粗隆间骨折是一种理想方法。

Citation： 魏朝阳,赵文,周忠鸿. 股骨近端抗旋髓内钉在老年股骨粗隆间骨折治疗中的应用. West China Medical Journal, 2012, 27(7): 1061-1062. doi: Copy

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4.	Mereddy P, Kamath S, Ramakrishnan M, et al. The AO/ASIF proximal femoral nail antirotation (PFNA): a new design for the treatmentof unstable proximfemoral fractures[J].Injury, 2009, 40(4): 428-432.
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6.	Kaufer H. Mechanics of the treatment of hip injuries[J]. Clin Orthop Relat Res, 1980, (146): 53-61.

1. 　朱二山, 孙俊英, 王勇. PFNA 与 DHS 治疗老年不稳定性股骨粗隆间骨折疗效观察[J]. 中国骨与关节损伤杂志, 2009, 24(2): 150-151.
2. 　Vidyadhara S, Sharath KR. One and two femoral neck screws with in tramedullary nails for unstable trochanteric fractures offemur int elderly-randomised clinical trial[J]. Injury, 2007, 38(7): 806-814.
3. 　Baumgaertner MR, Sollberg BD. Awareness of tip apex distance reducfailure of fixation of trochanteric fractures of the hip[J]. J Bone Joint Su (Br), 1997, 79(6): 969-971.
4. 　Mereddy P, Kamath S, Ramakrishnan M, et al. The AO/ASIF proximal femoral nail antirotation (PFNA): a new design for the treatmentof unstable proximfemoral fractures[J].Injury, 2009, 40(4): 428-432.
5. 　Haidukewych GJ. Inertrochanteric fractures:ten tips to improve results[J]. J Bone Joint Surg (Am), 2009, 91(3): 712-719.
6. 　Kaufer H. Mechanics of the treatment of hip injuries[J]. Clin Orthop Relat Res, 1980, (146): 53-61.

West China Medical Journal

股骨近端抗旋髓内钉在老年股骨粗隆间骨折治疗中的应用

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