老年股骨粗隆间骨折的PFNA治疗

The PFNA Treatment of Femoral Intertrochanteric Fracture

摘要: 目的：总结PFNA治疗老年股骨粗隆间骨折的经验。方法：回顾性分析我院自2011年1月至2011年12月收治的45例高龄股骨粗隆间骨折患者的临床资料，年龄67岁~83岁，其中男性33例，女性12例，按Tronzo-Evans分型：Ⅱ型10例，Ⅲ型18例，Ⅳ型14例，Ⅴ型3例，所有患者均采用PFNA治疗。结果：术中失血约40 ml~120 ml，平均60 ml，手术时间平均50分钟。患者术后随访5~10月，所有患者骨折均愈合，未发生骨不连，内固定无松动及断裂。根据Harris髋关节功能评分标准：优14例，良23例，可6例，差2例，优良率82.2%。结论：采用PFNA治疗老年股骨粗隆间骨折具有创伤小，内固定可靠，并发症少等优点，是治疗老年股骨粗隆间骨折的最佳选择。

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.