You Position: Home > Paper
Effect of PFN fixator for osteoporotic intertrochanter fractures in elderly patients
( views:151, downloads:14 )
- Author:
- No author available
- Journal Title:
- SHANDONG MEDICAL JOURNAL
- Issue:
- 40
- DOI:
- 10.3969/j.issn.1002-266X.2009.40.003
- Key Word:
- 转子间骨折;内固定器;骨质疏松
Abstract： 目的 探讨股骨近端髓内钉(PFN)治疗80岁以上老年骨质疏松性股骨转子间骨折的初期疗效.方法 总结2007年1月～2008年12月PFN内固定治疗老年骨质疏松性转子间骨折37例.28例合并两种以上内科疾病,7例合并1种内科疾病.所有病例均经牵引床牵引、闭合复位,术中不显露骨折区域,小切口置入PFN.结果 37例中,1例术后因严重的心衰、肺气肿病情加重于术后第17 天死亡.30例伤肢基本恢复了伤前的功能,4例因膝关节骨性关节炎、脑栓塞、肺心病等并存病的加重,患肢功能较伤前减退,需助行器辅助行走.X线显示36例存活的病例骨折全部一期愈合,平均愈合时间为9周(4～14个月).所有存活病例均无感染、骨不连、内固定失效等并发症.结论 PFN治疗老年骨质疏松性股骨转子间骨折的初期疗效较好,内固定可靠,允许早期功能锻炼.
- [1]Zenker H,Lill C,Weber AT,etc.Treatment strategies for proximal femur fractures in osteoporotic patients.[J].2005,16(Suppl.2).
- [2]Gatt R,Casaletto JA.Post-operative mortality related to waiting time for hip fracture surgery.[J].2004,35(2).
- [3]C.Cooper,G.Campion,DrL.J.MeltonIII.Hip fractures in the elderly: A world-wide projection[J].1992,2(6).
- [4]Kim TK,Lee KB,Cho MR,etc.Proximal femoral nail for the treatment of reverse obliquity intertrochanteric fractures compared with gamma nail.[J].2007,63(5).
- [5]J A, Valverde,M G, Alonso,J G, Porro,etc.Use of the Gamma nail in the treatment of fractures of the proximal femur.[J].1998,(350).
- [6]郭世绂, 罗先正, 邱贵兴主编.骨质疏松:基础与临床[M].2001.
- [7]卡纳莱(Canale, S. Terry),陈继营,张永刚,等.坎贝尔骨科手术学[M].1900.