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微创股骨近端髓内钉治疗老年股骨粗隆间骨折疗效观察

Modern Practical Medicine(2013)

Cited 1|Views13
Abstract
目的 探讨微创股骨近端髓内钉(PFNA)治疗老年股骨粗隆间骨折的疗效.方法 回顾性分析采用PFNA治疗的38例老年股骨粗隆间骨折患者的临床资料,其中22例采用闭合复位,16例采用小切口有限切开复位.结果 本组均获随访,随访时间6~36个月,平均13个月,复查X线片显示骨折复位良好,无内固定失效、股骨头缺血坏死、髋内翻畸形、下肢深静脉栓塞及死亡病例.术后6个月按Harris评分评定疗效,优21例,良17例,差1例,优良率97.3%.结论 在严格把握其适应证及操作技巧的前提下,PFNA是治疗老年股骨粗隆间骨的良好方法,尤其是合并骨质疏松患者的理想固定方法.
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