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加长Ⅱ代亚洲型股骨近端防旋髓内钉治疗股骨中上段复杂多段骨折的近期疗效 预览 被引量:2

Treatment of proximal-middle long-segment complicated femoral fractures with long proximal Asia femoral nail antirotation Ⅱ
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摘要 目的探讨加长Ⅱ代亚洲型股骨近端防旋髓内钉(简称加长PFNA-Ⅱ)治疗股骨中上段复杂多段骨折的近期疗效。方法应用加长PFNA-Ⅱ治疗26例股骨中上段复杂多段骨折患者,对术后及随访后的疗效、安全性及功能恢复进行评估。结果患者均获随访,时间6~18个月。手术时间40~90(58±13.6)min,术中失血量50~160(77.8±25.6)ml。围手术期无严重并发症或原有合并症加重。末次随访时均达到临床愈合标准,按Harris髋关节功能评分标准:优17例,良6例,中3例。无髋内翻、内置物切出、断裂、周围骨折及深静脉血栓形成等并发症发生。结论加长PFNA-Ⅱ的设计符合亚洲人股骨近端的解剖特点,治疗股骨中上段复杂多段骨折中创伤小,生物力学特性好,功能恢复快,并发症少。 Objective To investigate the clinical effect of long proximal Asia femoral nail antrotation( Ⅱ)( PFNA-Ⅱ) in proximal-middle long-segment complicated femoral fractures. Methods 26 cases were treated with PFNA-Ⅱ,the clinical effects were evaluated according to Harris criteria and radiological examinations. Results All patients were followed up for 6 ~ 18 months. The operating time of all cases was 40 ~ 90(58 ± 13. 6) minutes,and the mean blood loss during surgery was 50 ~ 160(77. 8 ± 25. 6) ml. No serious complications and aggravation occurred during perioprative period. According to Harris criteria,the clinical results were excellent in 17 cases,good in 6 and fair in3. No caxa vara,infection,cut out or breakage of the implants,secondary fractures or DVT occurred. Conclusions Long PFNA-Ⅱ is better suited for the proximal femur of Asian patients. Long PFNA-Ⅱ is an effective and minimally invasive method for proximal-middle long-segment complicated femoral fractures,which is better method with high fixation strength,early functional recovery,a high rate of bone union,compatible biomechanics characteristics and less complications.
作者 潘界恩 周晓 盛建明 陈刚 俞叶锋 戴加平 龚遂良 PAN Jie-en, ZHOU Xiao, SHENG Jian-ming, CHEN Gang, YU Ye-feng, DAI Jia-ping, GONG Sui-liang ( Dept of Orthopaedics, the Second Hospital of Jiaxing City, Jiaxing , Zhejiang 314000, China)
出处 《临床骨科杂志》 2015年第2期194-197,共4页 Journal of Clinical Orthopaedics
关键词 股骨骨折 骨折固定术 髓内固定器 femoral fractures fracture fixation intramedullary fixators
作者简介 潘界恩,男,硕士,主治医师,主要从事关节外科研究,E—mail:panjieen@165.com
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