The related complications and management in the treatment of intertrochanteric fractures of femur with PFN

HAN Jun-zhu1; YIN Zong-sheng2; GENG Chun-hui1; LIU Tao1

doi:10.13406/j.cnki.cyxb.2011.06.019

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The related complications and management in the treatment of intertrochanteric fractures of femur with PFN

更新时间：2024-01-17

- The related complications and management in the treatment of intertrochanteric fractures of femur with PFN
- Journal of Chongqing Medical University Vol. 36, Issue 6, Pages: 762-764(2011)
- 作者机构：
  
  1. 蚌埠医学院第二附属医院骨科
  2. 安徽医科大学第一附属医院骨科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2011.06.019
  CLC： R687.3
- Published：2011，
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[1]韩俊柱,尹宗生,耿春辉,刘涛.PFN治疗股骨转子间骨折的相关并发症及对策[J].重庆医科大学学报,2011,36(06):762-764.

HAN Jun-zhu1, YIN Zong-sheng2, GENG Chun-hui1, et al. The related complications and management in the treatment of intertrochanteric fractures of femur with PFN. [J]. Journal of Chongqing Medical University 36(6):762-764(2011)
[1]韩俊柱,尹宗生,耿春辉,刘涛.PFN治疗股骨转子间骨折的相关并发症及对策[J].重庆医科大学学报,2011,36(06):762-764. DOI： 10.13406/j.cnki.cyxb.2011.06.019.

HAN Jun-zhu1, YIN Zong-sheng2, GENG Chun-hui1, et al. The related complications and management in the treatment of intertrochanteric fractures of femur with PFN. [J]. Journal of Chongqing Medical University 36(6):762-764(2011) DOI： 10.13406/j.cnki.cyxb.2011.06.019.

摘要

目的:探讨股骨近端髓内钉（Proximal femoral nail

PFN）治疗股骨转子间骨折的相关并发症及对策。方法:回顾性分析我院2005年9月至2010后5月行PFN内固定治疗股骨转子间骨折42例

男18例

女24例

年龄51

0岁

平均78岁。Tronzo-Evans分型:Ⅰ型3例

Ⅱ型15例

Ⅲ型10例

Ⅳ型9例

Ⅴ型5例。结果:42例均获随访

时间5

0个月

平均30个月。1例患者术中出现股骨近端骨折

2例患者术后出现螺钉切割、断裂

1例患者术后患侧臀部及大转子区疼痛

无感染、深静脉血栓（Deep vein thrombosis

DVT）、髋内翻、股骨头坏死病例。结论:精确的复位、严格的无菌操作、抗生素的合理应用、内固定物的理想置入、骨质疏松的积极治疗、个体化的康复及DVT的综合预防是减少手术相关并发症的关键。

Abstract

Objective:To explore the related complications and management in the treatment of intertrochanteric fractures of femur with proximal femoral nail(PFN).Methods:42 cases of intertrochanteric fractures of femur treated with PFN that could be followed up during September 2005 to May 2010 in my hospital were retrospectively analyzed.There were 18 males and 24 females with an average age of 78 years(ranging from 51 to 90 years).According to Tronzo-Evans classification

there were 3 cases for typeⅠ

15 cases for typeⅡ

10 cases for typeⅢ

9 cases for typeⅣ

and 5 cases for typeⅤ.Results:All the patients were followed up for a mean time of 30 months(ranging from 5 to 60 months).No wound infection

DVT

coxa vara or ANFH occurred in these cases.One patient presented with proximal femoral fracture in the operation.Two patients suffered cutting out and screw breakage.One patient complained of pain in the injured buttock and great trochanter.Conclusion:Exact reduction

strict aseptic operation

reasonable application of antibiotics

ideal insertion of internal fixators

active treatments for osteoporosis

individual healing exercise and comprehensive prevention of DVT are the keys to avoiding the complications.

关键词

髋骨折骨折内固定术PFN术后并发症

Keywords

hip fractureinner fixationproximal femoral nailpostoperative complication

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