Efficacy analysis of Asian proximal femoral nail anti rotation intramedullary nail(PFNAⅡ)in the treatment of unstable intertrochanteric femoral fractures in senile patients
10.3760/cma.j.issn.1008-6706.2017.01.026
- VernacularTitle:股骨近端抗旋髓内钉内固定治疗老年人不稳定股骨粗隆间骨折的疗效分析
- Author:
Baoliang HUANG
;
Xinhua HUANG
;
Zongxin SHI
;
Xiangcai MENG
;
Wenxing GAO
- Keywords:
Femoral fractures;
Bone nails;
Fracture fixation,intramedullary;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(1):100-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively analyze the results of treatment with Asian proximal femoral nail anti rotation intramedullary nail (PFNA Ⅱ) in senile patients with unstable intertrochanteric femoral fractures. Methods 1 06 cases of unstable intertrochanteric femoral fracture with internal fixation of PFNAⅡ were analyzed retrospectively,and the treatment effect was observed.Results 1 06 cases were followed -up(mean 1 3.5 months, ranged 1 0 -22 months).Bone union occurred in all cases,average fracture healing time was 3.8 months.The average operation time was 48 minutes,the average volume of blood loss was 1 06mL.The hip functions were analyzed using Harrison score.And found 80 excellent cases,1 4 good cases,1 2 fair cases,with 88.7% of excellent and good rate. Conclusion For the senile patients of unstable intertrochanteric femoral fractures,PFNAⅡ has the biomechanical advantages of intramedullary fixation,small trauma,short operation time,reliable internal fixation,early functional exercise,low incidence of complications,significant functional recovery,and is a preferred treatment option.
