[1]葛站勇,李雪寒.PFNA治疗老年股骨转子间骨折的手术技巧及失误分析[J].医学信息,2018,31(15):183-184.[doi:10.3969/j.issn.1006-1959.2018.15.062]
　GE Zhan-yong,Li Xue-han.Surgical Technique and Error Analysis of PFNA in the Treatment of Intertrochanteric Fractures in the Elderly[J].Journal of Medical Information,2018,31(15):183-184.[doi:10.3969/j.issn.1006-1959.2018.15.062]
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PFNA治疗老年股骨转子间骨折的手术技巧及失误分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年15期
页码:
183-184
栏目:
出版日期:
2018-08-01

文章信息/Info

Title:
Surgical Technique and Error Analysis of PFNA in the Treatment of Intertrochanteric Fractures in the Elderly
文章编号:
1006-1959（2018）15-0183-02
作者:
葛站勇; 李雪寒
天津市津南区咸水沽医院骨科，天津 300350
Author(s):
GE Zhan-yong; Li Xue-han
Department of Orthopaedics,Xianshuigu Hospital,Jinnan District,Tianjin 300350,China
关键词:
PFNA; 股骨; 骨折
Keywords:
Key words：PFNA; Femur; Fracture
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2018.15.062
文献标志码:
B
摘要:
目的 分析PFNA治疗老年股骨转子间骨折的手术技巧，并对失误情况进行分析。方法 选择2012年1月～2017年6月我院共收治176例股骨转子间骨折患者，其中98例行PFNA内固定治疗。总结手术过程中的技巧，并分析其失误原因。结果98例患者中行切开复位19例，闭合复位例79例，骨折均一期愈合。至随访结束，2例患者出现轻度髋内翻，3例出现轻度患肢短缩，1例出现锁钉失败。根据髋关节功能Harris评分，优良率86.73%。结论 PFNA治疗老年股骨转子间骨折能够取得较好的治疗效果，需要医生在手术中进行细致手术，预防手术失误的发生。
Abstract:
Abstract：Objective To analyze the surgical technique of PFNA in the treatment of intertrochanteric fractures in the elderly,and to analyze the errors.Methods From January 2012 to June 2017,176 patients with intertrochanteric fractures were treated in our hospital,98 patients underwent PFNA internal fixation.Summarize the skills during the surgery and analyze the causes of the errors.Results Among the 98 patients,19 underwent open reduction and 79 underwent closed reduction,and the fractures healed in the first stage.By the end of follow-up,2 patients had mild hip varus,3 patients had mild limb shortening,and 1 patient had failed to lock the nail.According to the Harris scores of hip function,the excellent and good rate was 86.73%.Conclusion PFNA can achieve better therapeutic effect in the treatment of intertrochanteric fractures in the elderly.It is necessary for doctors to perform detailed surgery during surgery to prevent the occurrence of surgical errors.

参考文献/References:

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更新日期/Last Update: 2018-08-01