抗螺旋刀片股骨端髓内钉(PFNA)内固定闭合复位治疗股骨粗隆间骨折(AO分型)的临床疗效观察.pdfVIP

The proximal femur intramedullary nail (PFNA) closed reduction treatment between the thick long fracture clinical curative effect Speciality: Chinese medicine bone science Author:Zhang Dianyin Tutor:Prefessor Meng Kai Abstract Objective: to study the clinical surgery, patients were followed up, observation of the femoral screw blade cephalo-medullary nailing (PFNA) internal fixation closed reduction treatment of intertrochanteric fractures (AO type) of the clinical curative effect. Methods: in September 2009, 2011 to October 36 patients with unilateral between intertrochanteric fractures of the patients had closed, including male: 14 cases, female: 22 cases, aged 40 to 100 years, average age; 79.8 years old. According to the AO type: the A1 type 2 cases: A2 type 28 cases: the A3 type 6); All use of spiral blade proximal femur intramedullary nail (PFNA) closed reduction fixation treatment. Record operation time, patients with amount of blood loss, postoperative weight time, fracture healing and Harris hip functional recovery of the score. Results: the mean operation time 59.1 minutes, the bleeding 109 ml, postoperative load time 8.4 days, follow-up 16 months, an average of nine months, 36 patients take the X-ray and meet all the standards of clinical healing fracture healing average time 62 days, Harris hip score was 94.4%. Conclusion: PFNA treatment of intertrochanteric fractures with operation time is short, the less blood loss, allow early activity and weight, and the fracture healing to clinical standards and higher Harris hip score was, PFNA proof within the fixed closed reduction treatment of intertrochanteric fractures can get satisfactory clinical curative effect. Key words PFNA; Unilateral intertrochanteric fra