经皮微创防旋股骨近端髓内钉治疗老年股骨转子间-昆明医科大学学报.PDFVIP

昆明医科大学学报 2012 ，（7 ）：126 128 CN 53 - 1049 R Journal of Kunming Medical University 经皮微创防旋股骨近端髓内钉治疗老年股骨转子间骨折 德，徐富明，曾祥炳 ，王 伟 自贡市第二人民医院骨科，四川 自贡 643000） 摘要］ 目的 探讨经皮微创股骨近端防旋髓内钉（PFNA- Ⅱ）治疗老年股骨转子间骨折的临床疗效．方法 采用PFNA- Ⅱ治疗老年股骨转子间骨折36 例．结果 本组随访 11 ～24 个月，平均18 个月，全部骨折均愈合． 优 、固定可 依据Harris 评分： 28 例，良8 例．结论 PFNA- Ⅱ治疗老年股骨转子间骨折具有操作简便、创伤小 靠、可早期 能锻炼和并发症少等优点． 关键词］股骨转子间骨折；老年；PFNA- Ⅱ；内固定 ］ ］ ］ 中图分类号 R683.42 文献标识码 A 文章编号 1003 －4706 （20 12）07 －0126 －03 Percutaneous Proximal Femoral Nail Antirotation PFNA-II） in Treatment of Femoral Intertrochanteric Iracture in Elderly Patients CHEN De ，XU Fu －ming ，ZENG Xiang －bing ，WANG Wei （The Second People ’s Hos pital of Zigong，Zigong Sichuan 643000 ，China） Abstract］Objective To explore the curative effet of minimally invasive percutaneous proximal femoral nail antirotation （PFNA - II ）on femoral intertrochanteric fracture in elderly patients．Method Minimally invasive percutaneous femoral proximal femoral nail （PFNA - II ）was used in treatment of 36 elderly patients with femoral intertrochanteric fracture．Results All patients were followed up for 11 to24 months ，an average of 18 months ， all the fractures were healed. According to Harris score: excellent was in 28 cases ，good in 8 cases．Conclusion Minimally invasive percutaneous femoral proximal femoral nail （PFNA-II ）in treatment of femoral intertrochanteric fracture in elderly patients has the advantages of simple operation ，less trauma ，reliable fixation ，and early functional exercise and less complications. Key words］Femoral intertrochanteric fracture