Surgical treatment of femoral intertrochanteric fractures with proximal femoral nail

吴雪晖; 王序全; 谢肇; 马树枝; 张劲松

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Surgical treatment of femoral intertrochanteric fractures with proximal femoral nail

更新时间：2026-01-09

- Surgical treatment of femoral intertrochanteric fractures with proximal femoral nail
- Journal of Army Medical University Vol. 29, Issue 7, Pages: 617-619(2007)
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  CLC： R683.42;R687.33
- Published：2007
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吴雪晖,王序全,谢肇,马树枝,张劲松.股骨近端髓内针治疗股骨粗隆间骨折的疗效评估[J].陆军军医大学学报(原第三军医大学学报),2007,29(07):617-619.

　WU Xue-hui,WANG Xu-quan,XIE Zhao,MA Shu-zhi,ZHANG Jin-song.Surgical treatment of femoral intertrochanteric fractures with proximal femoral nail[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(07):617-619.
吴雪晖,王序全,谢肇,马树枝,张劲松.股骨近端髓内针治疗股骨粗隆间骨折的疗效评估[J].陆军军医大学学报(原第三军医大学学报),2007,29(07):617-619. DOI：

　WU Xue-hui,WANG Xu-quan,XIE Zhao,MA Shu-zhi,ZHANG Jin-song.Surgical treatment of femoral intertrochanteric fractures with proximal femoral nail[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(07):617-619. DOI：

摘要

目的评估股骨近端髓内针特别是PFN-A治疗股骨粗隆间骨折的临床疗效。方法 2002-2006年62例股骨粗隆间骨折患者按AO分类31-A1型8例，31-A2型33例，31-A3型21例。使用MFN，PFN及PFN-A治疗，统计术中失血量，手术时间，骨折愈合时间，髋关节功能评价。结果本组患者术中平均失血量小于100 ml，平均手术时间1 h。术后随访4~24个月，全部骨折均愈合，1例术后髋螺钉退出，2例出现切口脂肪液化，功能评价总优良率为95.2%，无股骨头缺血坏死及髋内翻畸形。结论股骨近端髓内针，特别是PFN-A治疗股骨粗隆间骨折具有手术简单、固定牢稳、微创、并发症少的特点，尤其适用于骨质疏松患者。

Abstract

Objective To discuss the therapeutic effect of clinical treatment of femoral intertrochanteric fractures with proximal femoral nail

especially the newly developed proximal femoral nail-A (PFN-A). Methods By AO classification

62 cases of femoral intertrochanteric fractures from 2002 to 2006 were divided into three groups (8 cases in group 31-A1

33 cases in group 31-A2

21 cases in group 31-A3) and were treated with multifunctional femur nail (MFN)

proximal femoral nail (PFN) and PFN-A instrumentation by means of closed reduction and fixation. The blood loss

operation time

fracture healing and functional recovery of the hip joint were observed. Results The mean blood loss was 90 ml

and the mean operation time was 60 min. Follow-up from 4 to 24 months after operation showed union of fracture in all cases

a disengaging hip screw in one case

and fat liquefaction of operation incisions in 2 cases

with the function recovery rate of 95.2% and no report of ischemia and necrosis of femoral head

and no malformation of hip varus. Conclusion The clinical treatment of femoral intertrochanteric fractures with PFN

especially PFN-A

is convenient

stable

miniinvasive and almost free from complications

which is applicable to patients of osteoporosis.

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