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《pfna治療不穩(wěn)定型股骨粗隆間骨折的臨床療效觀察》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、提要目的：探討防旋型股骨近端髓內(nèi)釘（proximalfemoralnailanti-rotation，PFNA）治療不穩(wěn)定型股骨粗隆間骨折的臨床療效與適應(yīng)癥。方法：對山東省中醫(yī)院2010年3月～2011年9月間收治的不穩(wěn)定型股骨粗隆間骨折患者隨機(jī)抽取60例分為PFNA、DHS、ALP內(nèi)固定組三組。隨訪時間最短12個月，最長24個月。結(jié)果：PFNA、DHS和ALP治療不穩(wěn)定型股骨粗隆間骨折都取得了滿意的療效。PFNA內(nèi)固定組優(yōu)良率90%，DHS內(nèi)固定組優(yōu)良率70%，ALP內(nèi)固定組的優(yōu)良率85%，PFNA內(nèi)固定組優(yōu)良率高于DHS內(nèi)固定組和ALP內(nèi)固定組。結(jié)論：PFNA內(nèi)固定
2、組治療不穩(wěn)定型股骨粗隆間骨折較DHS內(nèi)固定組和ALP內(nèi)固定組具有操作簡單、創(chuàng)傷較小、固定牢固、出血量少、并發(fā)癥少、下地活動時間早、術(shù)后髖關(guān)節(jié)功能恢復(fù)較好等優(yōu)點。PFNA是治療不穩(wěn)定型股骨粗隆間骨折較為理想的內(nèi)固定物。關(guān)鍵詞不穩(wěn)定型；股骨粗隆間骨折；防旋型股骨近端髓內(nèi)釘；動力髖螺釘；股骨近端解剖型鎖定鋼板TheClinicalStudyofPFNAintheTreatmentofUnstableIntertrochantericFractureoftheFemurSpecialty：InternalMedicineofTCMAuthor：DouLiandaTutor：Pr
3、ofessorBiRongxiuAbstractObjective:ToinvestigatethetreatmentofunstableintertrochantericfemurfractureswithPFNA.Methods:Admittedtotheunstableintertrochantericfracturepatientsrandomlyselected60casesfromShandongProvincialHospitalofTCMfromMarch2010toSeptember2011anddividedthemintothreegroupsof
4、PFNA,DHSandALP,Thefollow-uptimefrom12monthsupto24months.Results:ThePFNA,DHSandALPtreatmentofunstableintertrochantericfractureshaveachievedasatisfactoryeffect.PFNAwithinafixedgroupoftheexcellentrateof90%,DHSinternalfixationgroupof70%andthefixedgroupofALPwithin85%.PFNAgroupishigherthanfixe
5、dgroupswithintheDHSandtheALPinternalfixationgroup.Conclusion:PFNAfixationgroupthanDHSfixationgroupandtheALPinternalfixationgroup,withsimpleoperation,lesstrauma,fixation,lessbleeding,fewercomplications,thefieldsearlyactivity,fewerpostoperativecomplications,postoperativehipfunctionalrecove
6、ryisbetter,etc.PFNAistheidealinternalfixationinthetreatmentofunstableintertrochantericfractures.KeywordUnstable;IntertrochantericFracture;ProximalFemoralNailAnti-rotation;DynamicHipScrew;AnatomicProximalFemoralLockingPlate目錄引言..............................................................
7、.................................................................1臨床資料和研究方法...........................................................................................................2一、病例選擇標(biāo)準(zhǔn).................................................................................
