pfna治疗不稳定型股骨粗隆间骨折的临床疗效观察

《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.................................................................................