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ID:32834805
大小:486.14 KB
页数:38页
时间:2019-02-16
《pfna治疗不稳定型股骨粗隆间骨折的临床疗效观察》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、提要目的:探讨防旋型股骨近端髓内钉(proximalfemoralnailanti-rotation,PFNA)治疗不稳定型股骨粗隆间骨折的临床疗效与适应症。方法:对山东省中医院2010年3月~2011年9月间收治的不稳定型股骨粗隆间骨折患者随机抽取60例分为PFNA、DHS、ALP内固定组三组。随访时间最短12个月,最长24个月。结果:PFNA、DHS和ALP治疗不稳定型股骨粗隆间骨折都取得了满意的疗效。PFNA内固定组优良率90%,DHS内固定组优良率70%,ALP内固定组的优良率85%,PFNA内固定组优良率高于DHS内固定组和ALP内固定组。结论:PFNA内固定
2、组治疗不稳定型股骨粗隆间骨折较DHS内固定组和ALP内固定组具有操作简单、创伤较小、固定牢固、出血量少、并发症少、下地活动时间早、术后髋关节功能恢复较好等优点。PFNA是治疗不稳定型股骨粗隆间骨折较为理想的内固定物。关键词不稳定型;股骨粗隆间骨折;防旋型股骨近端髓内钉;动力髋螺钉;股骨近端解剖型锁定钢板TheClinicalStudyofPFNAintheTreatmentofUnstableIntertrochantericFractureoftheFemurSpecialty:InternalMedicineofTCMAuthor:DouLiandaTutor:Pr
3、ofessorBiRongxiuAbstractObjective:ToinvestigatethetreatmentofunstableintertrochantericfemurfractureswithPFNA.Methods:Admittedtotheunstableintertrochantericfracturepatientsrandomlyselected60casesfromShandongProvincialHospitalofTCMfromMarch2010toSeptember2011anddividedthemintothreegroupsof
4、PFNA,DHSandALP,Thefollow-uptimefrom12monthsupto24months.Results:ThePFNA,DHSandALPtreatmentofunstableintertrochantericfractureshaveachievedasatisfactoryeffect.PFNAwithinafixedgroupoftheexcellentrateof90%,DHSinternalfixationgroupof70%andthefixedgroupofALPwithin85%.PFNAgroupishigherthanfixe
5、dgroupswithintheDHSandtheALPinternalfixationgroup.Conclusion:PFNAfixationgroupthanDHSfixationgroupandtheALPinternalfixationgroup,withsimpleoperation,lesstrauma,fixation,lessbleeding,fewercomplications,thefieldsearlyactivity,fewerpostoperativecomplications,postoperativehipfunctionalrecove
6、ryisbetter,etc.PFNAistheidealinternalfixationinthetreatmentofunstableintertrochantericfractures.KeywordUnstable;IntertrochantericFracture;ProximalFemoralNailAnti-rotation;DynamicHipScrew;AnatomicProximalFemoralLockingPlate目录引言..............................................................
7、.................................................................1临床资料和研究方法...........................................................................................................2一、病例选择标准.................................................................................
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