股骨近端抗旋髓內釘在老年股骨粗隆間骨折治療中的應用_West China Medical Journal

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魏朝陽 , 趙文 , 周忠鴻

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Keywords：

老年; 股骨粗隆間骨折; 股骨近端抗旋髓內釘

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目的　總結股骨近端抗旋髓內釘（PFNA）治療老年股骨粗隆間骨折的療效。方法　2008年2月－2010年12月應用PFNA治療老年股骨粗隆間骨折36例，男16例，女20例；年齡65～89歲，平均77.2歲。致傷原因：摔傷29例，交通事故傷7例。左側27例，右側9例。骨折按AO分型：31-A1型6例，31-A2型22例，31-A3型8例。受傷至手術時間3～12 d，平均5 d。結果　治療后30例獲隨訪，隨訪時間7～18個月，平均9個月，骨折全部愈合，愈合時間12～19周，平均14周。術后Harris髖關節功能評分：優23例，良6例，差1例，優良率 96.7%。結論　PFNA 治療老年股骨粗隆間骨折是一種理想方法。

Citation： 魏朝陽,趙文,周忠鴻. 股骨近端抗旋髓內釘在老年股骨粗隆間骨折治療中的應用. West China Medical Journal, 2012, 27(7): 1061-1062. doi: Copy

1.	朱二山, 孫俊英, 王勇. PFNA 與 DHS 治療老年不穩定性股骨粗隆間骨折療效觀察[J]. 中國骨與關節損傷雜志, 2009, 24(2): 150-151.
2.	Vidyadhara S, Sharath KR. One and two femoral neck screws with in tramedullary nails for unstable trochanteric fractures offemur int elderly-randomised clinical trial[J]. Injury, 2007, 38(7): 806-814.
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4.	Mereddy P, Kamath S, Ramakrishnan M, et al. The AO/ASIF proximal femoral nail antirotation (PFNA): a new design for the treatmentof unstable proximfemoral fractures[J].Injury, 2009, 40(4): 428-432.
5.	Haidukewych GJ. Inertrochanteric fractures:ten tips to improve results[J]. J Bone Joint Surg (Am), 2009, 91(3): 712-719.
6.	Kaufer H. Mechanics of the treatment of hip injuries[J]. Clin Orthop Relat Res, 1980, (146): 53-61.

1. 　朱二山, 孫俊英, 王勇. PFNA 與 DHS 治療老年不穩定性股骨粗隆間骨折療效觀察[J]. 中國骨與關節損傷雜志, 2009, 24(2): 150-151.
2. 　Vidyadhara S, Sharath KR. One and two femoral neck screws with in tramedullary nails for unstable trochanteric fractures offemur int elderly-randomised clinical trial[J]. Injury, 2007, 38(7): 806-814.
3. 　Baumgaertner MR, Sollberg BD. Awareness of tip apex distance reducfailure of fixation of trochanteric fractures of the hip[J]. J Bone Joint Su (Br), 1997, 79(6): 969-971.
4. 　Mereddy P, Kamath S, Ramakrishnan M, et al. The AO/ASIF proximal femoral nail antirotation (PFNA): a new design for the treatmentof unstable proximfemoral fractures[J].Injury, 2009, 40(4): 428-432.
5. 　Haidukewych GJ. Inertrochanteric fractures:ten tips to improve results[J]. J Bone Joint Surg (Am), 2009, 91(3): 712-719.
6. 　Kaufer H. Mechanics of the treatment of hip injuries[J]. Clin Orthop Relat Res, 1980, (146): 53-61.

West China Medical Journal

股骨近端抗旋髓內釘在老年股骨粗隆間骨折治療中的應用

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