PFNA治疗不稳定型股骨粗隆间骨折临床疗效观察.pdfVIP

The Clinical Study of PFNA in the Treatment of Unstable Intertrochanteric Fracture of the Femur Specialty：Internal Medicine of TCM Author ：Dou Lianda Tutor ：Professor Bi Rongxiu Abstract Objective: To investigate the treatment of unstable intertrochanteric femur fractures with PFNA. Methods: Admitted to the unstable intertrochanteric fracture patients randomly selected 60 cases from Shandong Provincial Hospital of TCM from March 2010 to September 2011 and divided them into three groups of PFNA, DHS and ALP, The follow-up time from 12 months up to 24 months. Results: The PFNA, DHS and ALP treatment of unstable intertrochanteric fractures have achieved a satisfactory effect. PFNA within a fixed group of the excellent rate of 90% , DHS internal fixation group of 70% and the fixed group of ALP within 85% . PFNA group is higher than fixed groups within the DHS and the ALP internal fixation group. Conclusion: PFNA fixation group than DHS fixation group and the ALP internal fixation group, with simple operation, less trauma, fixation, less bleeding, fewer complications, the fields early activity, fewer postoperative complications, postoperative hip functional recovery is better, etc. PFNA is the ideal internal fixation in the treatment of unstable intertrochanteric fractures. Keyword Unstable; Intertrochanteric Fracture; Proximal Femoral Nail Anti-rotation; Dynamic Hip Screw; Anatomic Proximal Femoral Locking Plate 目 录 引 言 1 临床资料和研究方法 2 一、 病例选择标准 2 （一）诊断标准 2 （二）分型标准 2 （三）临床病例的选择 3 二、研究对象 3 三、治疗方法 4 （一）术前准备 4 （二）手术方法 4 （三）术后治疗与康复 5 四、术后随访 5 五、观察指标 5 六、疗