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| PFNA治疗高龄不稳定股骨粗隆问骨折 |
| PFNA in the treatment of the older unstable intertrochanteric fractures |
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| DOI： |
| 中文关键词: 不稳定股骨粗隆间骨折 高龄患者 PFNA |
| 英文关键词:Unstable intertroehanterie fractures The older patients PFNA |
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| 中文摘要: |
| 目的 探讨PFNA在高龄不稳定股骨粗隆间骨折治疗中的价值。方法 对55例高龄不稳定股骨粗隆间骨折采用PFNA微创治疗，早期指导患者康复训练，Harris髋关节创伤后的功能评分标准评估治疗效果。结果 对55例患者进行随访，时间36±17W。切口及骨折均愈合良好。骨折愈合时间8±1.2 W。术中、后并发症5例。按Harris标准评定优良率为87.3％。结论 PFNA具有操作筒单，固定牢固，损伤小，失血少，时间短，术中、术后并发症较低，允许患者早期活动，符合生物力学固定原则等优点，尤其适用于高龄骨质疏松不稳定的股骨粗隆问骨折。 |
| 英文摘要: |
| Abstract：Objective Investigate and discuss the value of PFNA in the treatment of the older unstable intertrochanteric fractures．Methods To apply PFNA to 55 cases of the older unstable intertrochanteric fractures；to conduct an early direction of rehabilitation training on the patients；to evaluate the treating effectiveness according to Harris post-traumatic hip functions scoring criteria．Results Incision and the fracture both heal well based on a follow-up visit of 55 patients for 36±17 weeks．Time for fracture healing is 8±1.2 weeks．There are five cases of complications during and after operation．Good rate is 87．3％ according to Harris standard．Conclusion PFNA has advantages of simple operation，rigid fixation，less damage，less blood loss，shon time，lower postoperative complications，allowing early mobilization of patients，and in line with the fixed principles of biomechanics，etc，especially applicable for elderly osteoporotic unstable Intertrochanteric fracture． |
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