[1]林山△,李耀锋,郭氧,等.股骨近端防旋髓内钉结合钛缆治疗复杂股骨粗隆间骨折的疗效观察[J].中国中医骨伤科杂志,2022,30(09):53-57.
 LIN Shan,LI Yaofeng,GUO Yang,et al.Efficacy Observation of Proximal Femoral Nail Anti-Rotation Combined with Titanium Cable Fixation on the Treatment of Complex Intertrochanteric Femoral Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(09):53-57.
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股骨近端防旋髓内钉结合钛缆治疗复杂股骨粗隆间骨折的疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年09期
页码:
53-57
栏目:
临床报道
出版日期:
2022-09-15

文章信息/Info

Title:
Efficacy Observation of Proximal Femoral Nail Anti-Rotation Combined with Titanium Cable Fixation on the Treatment of Complex Intertrochanteric Femoral Fracture
文章编号:
1005-0205(2022)09-0053-05
作者:
林山12△李耀锋12郭氧12尤元璋12
1厦门大学附属第一医院骨科(福建 厦门,361003)
2厦门大学医学院
Author(s):
LIN Shan12△LI Yaofeng12GUO Yang12YOU Yuanzhang12
1Department of Orthopaedics,the First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian China; 2School of Medicine,Xiamen University,Xiamen 361003,Fujian China.
关键词:
股骨粗隆间骨折 钛缆 股骨近端防旋髓内钉 侧卧位 疗效
Keywords:
intertrochanteric femoral fracture titanium cable proximal femoral nail anti-rotation lateral position efficacy
分类号:
R683.42
文献标志码:
B
摘要:
目的:探讨股骨近端防旋髓内钉(Proximal Femoral Nail Antirotation,PFNA)结合钛缆辅助固定治疗复杂(A3.3 型)股骨粗隆间骨折的临床疗效。方法:回顾性分析2018年6月至2021年2月收治的21例A3.3型复杂股骨粗隆间骨折患者病例资料,年龄为46~81岁,平均为65.9岁。均采用小切口切开复位PFNA结合钛缆辅助捆扎固定治疗,术后常规抗感染、抗凝、抗骨质疏松治疗,并指导早期康复训练,定期随诊拍片,采用Harris 评分标准评价髋关节功能。结果:所有患者手术过程均顺利,术后未发生肺栓塞、下肢静脉血栓、心脑血管意外、内固定物移位或断裂、髋内翻、骨不连等并发症。所有患者均获得8~24个月随访,术后骨折愈合良好,平均愈合时间为3.4个月(3~5个月)。髋关节功能恢复良好,末次随访时髋关节功能:优15例,良4例,可2例,优良率为90.5%。结论:小切口切开复位PFNA结合钛缆辅助固定治疗A3.3 型复杂股骨粗隆间骨折,固定牢固,疗效确切,该方法可使复杂的骨折治疗变得简单,减少手术创伤,并可使患者早期进行康复锻炼,减少术后并发症。
Abstract:
Objective:To explore the therapeutic efficacy of proximal femoral nail anti-rotation(PFNA)combined with titanium cable fixation on the treatment of patients with A3.3 type complex intertrochanteric femoral fractures.Methods:21 patients with A3.3 type complex intertrochanteric femoral fractures from June 2018 to February 2021 were retrospectively studied,aged from 46 to 81 years old,with 65.9 years old on average.All patients were treated by PFNA assisted with titanium cable fixation under small incision-opening reset.Routine postoperative anti-infection,anti-coagulant,anti-osteoporosis treatment and the guidance of early rehabilitation training was performed.The regular filming after surgery was followed up periodically,and hip function was evaluated using Harris scoring criteria.Results:All the patients in this group had a smooth surgical procedure,and there were no complications such as pulmonary embolism,lower limb vein thrombosis,cardiovascular accident,hip inversion,bone inconsistency,internal fixation displacement or fracture.All patients were followed up for 8 to 24 months,and fractures healed well after surgery for 3 to 5 months,with 3.4 months on average.The Hip function recovered well,hip function at the last follow-up showed:15 cases in excellent,4 cases in good,2 cases in fair,with excellent rate of 90.5%.Conclusion:Under small incision-opening reset,PFNA combined with titanium cable fixation on the treatment of A3.3 type complex intertrochanteric femoral fractures has firm fixation and definite curative efficacy.This method can simplify complex fracture operation,reduce surgical trauma,make patients take early rehabilit- ation exercise as soon as possible,and reduce the occurrence of postoperative complications.

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备注/Memo

备注/Memo:
基金项目:福建省自然科学基金面上项目(2018J0385)
福建省自然科学基金青年创新项目(2013D013)
通信作者 E-mail:2018642046@xmu.edu.cn
更新日期/Last Update: 2022-09-10