The PFNA Treatment of Femoral Intertrochanteric Fracture
作者: 段宜强 ：贵阳医学院附属医院骨科，贵阳;
Abstract: Objective: To summarize the experience of PFNA in the treatment of femoral intertrochanteric fractures in the elderly. Method: To retrospectively analyze the clinical data of 45 senile patients with femoral intertrochanteric fracture admitted in our hospital since January 2011 to December 2011. The age ranged from 67 to 83 years old (mean 72.2 years old); 33 cases were male, and 12 cases were female. According to the classification of Tronzo-Evans: 10 cases were type II, type III 18 cases, type IV 14 cases, type V 3 cases. All patients were treated with PFNA. Results: The bleeding during the operation was about 40 ml - 120 ml (mean 60 ml), and the mean operation time was 50 minutes. Postoperative follow-up of patients were 5 to 10 months. There were no cases with nonunion fracture or internal fixation loosening and failure. According to the Harris hip score standards, the function outcome in 14 cases were excellent, 23 cases good, 6 cases general, 2 cases poor; the excellent and good rate was 82.2%. Conclusions: With the advantages of small trauma, reliable internal fixation and fewer complications, PFNA is the best choice for treatment of femoral intertrochanteric fractures in the elderly.
文章引用: 段宜强 (2014) 老年股骨粗隆间骨折的PFNA治疗。 外科， 3， 60-63. doi: 10.12677/HJS.2014.34011
 刘志雄, 刘涛 (2005) 骨科常用诊断分类方法和功能结果评定标准. 北京科学技术出版社, 北京, 268.
 马向阳, 黄永刚, 刁振鸿, 等 (2012) PFNA治疗高龄骨质疏松性股骨粗隆间骨折体会. 骨科, 1, 21-23.
 吕鹏, 曹立峰, 何久盛, 等 (2010) 亚洲型髓内髋部螺钉治疗不稳定股骨转子间骨折的初步报告. 中华创伤骨科杂志, 9, 896-898.
 Cole, P.A. and Bhandari, M. (2006) What’s new in orthopaedic trauma. The Journal of Bone & Joint Surgery (Am), 88, 2545-2561.