| 股骨近端髓内钉微创治疗80岁以上高龄股骨粗隆间骨折 |
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投稿时间：2013-03-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 何永清 |
HE Yong-qing |
海宁市人民医院骨二科, 浙江 海宁 314400 |
The Second Department of Orthopaedics, People's Hospital of Haining City, Haining 314400, Zhejiang, China |
hyqws@sohu.com |
| 阮朝阳 |
RUAN Zhao-yang |
海宁市人民医院骨二科, 浙江 海宁 314400 |
The Second Department of Orthopaedics, People's Hospital of Haining City, Haining 314400, Zhejiang, China |
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| 项昶 |
XIANG Chang |
海宁市人民医院骨二科, 浙江 海宁 314400 |
The Second Department of Orthopaedics, People's Hospital of Haining City, Haining 314400, Zhejiang, China |
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| 张纲 |
ZHANG Gang |
海宁市人民医院骨二科, 浙江 海宁 314400 |
The Second Department of Orthopaedics, People's Hospital of Haining City, Haining 314400, Zhejiang, China |
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| 朱群威 |
ZHU Qun-wei |
海宁市人民医院骨二科, 浙江 海宁 314400 |
The Second Department of Orthopaedics, People's Hospital of Haining City, Haining 314400, Zhejiang, China |
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| 钱铮 |
QIAN Zheng |
海宁市人民医院骨二科, 浙江 海宁 314400 |
The Second Department of Orthopaedics, People's Hospital of Haining City, Haining 314400, Zhejiang, China |
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| 期刊信息：《中国骨伤》2013年，第26卷，第10期，第833-835页 |
| DOI：DOI:10.3969/j.issn.1003-0034.2013.10.010 |
| 基金项目: |
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中文摘要:
目的: 探讨股骨近端髓内钉(proximal femur intramedullary nail,PFNA)治疗高龄股骨粗隆间骨折的疗效.
方法: 对2008年1月至2010年12月收治的86例高龄(80～93岁)股骨粗隆间骨折患者的临床资料进行回顾性分析,其中采用闭合复位PFNA内固定治疗54例(PFNA组),男22例,女32例;采用传统开放复位钉板内固定术32例(对照组),男12例,女20例. 比较两组患者的手术时间、出血量、术后并发症、住院时间、骨折愈合时间及髋关节功能情况.
结果: 所有患者获得2年以上的随访,PFNA组的手术时间、出血量、术后并发症、住院时间均明显少于对照组(P<0.01);骨折愈合时间两组差异无统计学意义(P>0.05);髋关节功能Harris评分则明显优于对照组(P<0.01).
结论: 应用PFNA治疗高龄患者股骨粗隆间骨折疗效优于传统手术. |
| 【关键词】股骨 转子间骨折 骨折固定术,髓内 老年人,80以上 |
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| Treatment of intertrochanteric fractures over age of 80 years old patients with proximal femur intramedullary nail |
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ABSTRACT
Objective: To explore the clinical effects of proximal femur intramedullary nail(PFNA) in treating intertrochanteric fracture in elderly patients.
Methods: From January,2008 to December,2010,the data of 86 elderly patients (aged,80 to 93 years) with intertrochanteric fracture who underwent internal fixation were retrospectively analyzed. Of them,54 patients (22 males and 32 females) were treated with close reduction and PFNA internal fixation(PFNA group),and 32 patients (12 males and 20 females) were treated with open reduction and nail-plate internal fixation (control group). Operation time,volume of blood loss,postoperative complications,time of hospitalization and bone union,hip function were compared between two groups.
Results: All patients were followed up more than 2 years. Operation time,volume of blood loss,postoperative complications,time of hospitalization in PFNA group were less than that of control group(P<0.01). There was no significant difference in time of bone union between two groups(P>0.05). According to Harris score to evaluate the function of hip joint,PFNA group was better than that of control group(P<0.01).
Conclusion: Treatment of elderly patients with intertrochanteric fractures with PFNA internal fixations can obtain satisfactory results,the method is better than that of traditional method. |
| KEY WORDS Fumer Intertrochanteric fracture Fracture fixation,intramedullary Aged,80 and over |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 何永清,阮朝阳,项昶,张纲,朱群威,钱铮.股骨近端髓内钉微创治疗80岁以上高龄股骨粗隆间骨折[J].中国骨伤,2013,26(10):833~835 |
| 英文格式: | HE Yong-qing,RUAN Zhao-yang,XIANG Chang,ZHANG Gang,ZHU Qun-wei,QIAN Zheng.Treatment of intertrochanteric fractures over age of 80 years old patients with proximal femur intramedullary nail[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(10):833~835 |
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