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中华老年骨科与康复电子杂志 ›› 2022, Vol. 08 ›› Issue (06) : 345 -349. doi: 10.3877/cma.j.issn.2096-0263.2022.06.005

髋部骨折

股骨近端防旋髓内钉治疗绝经后妇女股骨转子间骨折的疗效分析
王苗1, 孙健1, 林彬辉1, 王宏杰1, 孙卫兵1,()   
  1. 1. 201803 上海市第一人民医院嘉定分院/嘉定区江桥医院骨科
  • 收稿日期:2022-09-22 出版日期:2022-12-05
  • 通信作者: 孙卫兵
  • 基金资助:
    上海市嘉定区科学基金(JDKW-2021-0013)

Analysis of the effect of proximal femoral nail antirotation technology in the treatment of femoral intertrochanteric fractures in postmenopausal women

Miao Wang1, Jian Sun1, BinHui Lin1, HongJie Wang1, WeiBing Sun1,()   

  1. 1. Department of Orthopaedics, Jiading Branch of Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201803, China
  • Received:2022-09-22 Published:2022-12-05
  • Corresponding author: WeiBing Sun
引用本文:

王苗, 孙健, 林彬辉, 王宏杰, 孙卫兵. 股骨近端防旋髓内钉治疗绝经后妇女股骨转子间骨折的疗效分析[J/OL]. 中华老年骨科与康复电子杂志, 2022, 08(06): 345-349.

Miao Wang, Jian Sun, BinHui Lin, HongJie Wang, WeiBing Sun. Analysis of the effect of proximal femoral nail antirotation technology in the treatment of femoral intertrochanteric fractures in postmenopausal women[J/OL]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(06): 345-349.

目的

探讨股骨近端防旋髓内钉技术(PFNA)治疗绝经后妇女转子间骨折的疗效。

方法

回顾性分析2020年12月至2021年10月在本科进行PFNA手术治疗的40例绝经期女性患者,年龄49~86岁,平均(67.3±11.2)岁,使用Harris髋关节功能评分、疼痛视觉模拟评分(VAS)以及健康调查简表(SF36)进行疗效评估。

结果

40例患者获得完整随访,随访时间9~12月,平均(11±1)个月。末次随访时,Harris评分及SF36评分分别较术前提高(72.8±11)分、(55.7±11.5)分,VAS评分较术前下降(5.9±2.1)分(P<0.05)。

结论

PFNA术用于绝经后妇女的股骨转子间骨折的治疗效果良好。

Objective

To investigate the therapeutic effect of proximal femoral nail antirotation (PFNA) technique for intertrochanteric fractures in postmenopausal women.

Methods

From December 2020 to October 2021, 40 postmenopausal female patients who underwent PFNA surgery in our department were retrospectively analyzed. Harris hip function score, visual analog scale (VAS) and the MOS item short from health survey (SF36) score were used to evaluate the curative effect.

Results

All patients were followed up after operation to 9 months. At the last follow-up, the Harris score and SF36 score were higher than those before operation, and the VAS score was lower than that before operation, and the differences were statistically significant (P<0.05).

Conclusions

PFNA is used for the treatment of femoral intertrochanteric fractures in postmenopausal women, and the postoperative satisfaction is high and the effect is good.

表1 40例行PFNA治疗的绝经后女性患者手术前后髋关节功能评分(分,±s
图5~6 78岁女性,骨折分型为EvansII型骨折,骨折线累及大粗隆
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