王勇;潘骏;

• 1:温州医科大学附属第二医院骨科

摘要(Abstract)：

[目的]探讨标准骨水泥强化型股骨近端防旋髓内钉(PFNA)治疗老年骨质疏松性股骨粗隆间不稳定骨折的临床疗效。[方法]回顾本科2014年8月~2016年3月收治的42例老年骨质疏松性股骨粗隆间不稳定骨折患者,均使用标准骨水泥强化型PFNA治疗。42例中36例获得随访,其中男14例,女22例;年龄70~96岁,平均(81.22±6.89)岁。根据骨折AO分型,A2.2型12例,A2.3型15例,A3型9例。记录患者术中情况,辅助下负重时间,骨折愈合时间,评估患者术后并发症、髋关节功能等。[结果]手术时间平均(53.56±6.58)min,术中出血量平均(155.31±21.92)ml,术中骨水泥的注射量(3.84±0.24)ml。术后助行器辅助下负重时间3~9 d,平均(4.39±1.92)d。36例患者获得随访,随访时间12~16个月,平均(14.11±1.39)个月。患者术后均达到骨性愈合,平均愈合时间(12.14±1.92)周。术后髋关节Harris评分,优24例,良9例,可3例,差0例,优良率91.67%。术后1例患者发生钉尾皮肤刺激,无内固定松动断裂、螺钉切出及切穿等并发症,同时也并未观察到骨水泥相关并发症,如骨水泥外漏、股骨头坏死等。[结论]标准骨水泥强化型PFNA治疗老年骨质疏松性股骨粗隆间不稳定骨折,固定可靠,术后可早期负重,并发症少,安全有效。

关键词(KeyWords)： 股骨粗隆间骨折;骨水泥增强;股骨近端抗旋转钉(PFNA)

Abstract:

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基金项目(Foundation):

作者(Author): 王勇;潘骏;

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参考文献(References)：

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