Pavelka T, Lihart M, Matejka J, Vyskocil V
Klinik für Orthopädie und Traumatologie des Bewegungsapparates, Pilsen, Tschechische Republik.
Zentralbl Chir. 2005 Apr;130(2):148-52. doi: 10.1055/s-2005-836368.
The paper retrospectively evaluates a set of patients with ipsilateral fractures of the proximal femur and shaft treated with PFN-long.
19 patients (14 males and 5 females), aged 48 in average, were treated from 1998-2003. The fractures included 2 types: combined intraarticular femoral neck and shaft fractures: 8 cases, and 11 cases of complex extraarticular proximal femoral fractures and its shaft.
A total of 17 patients followed up for at least 12 months was evaluated according to the Sanders and Regazzoni scoring scale. Bone union resulted in all patients. This was accomplished within 6 months in 10 patients (59 %), 9 months in 16 patients (94 %), and one patient healed within 12 months. Excellent results were achieved in 59 %, good results in 35 % and a satisfactory result in 6 %. We have recorded 3 cases of postoperative complications (16 %). These complications were all due to imperfect reduction. Early complications included a wound haematoma with necessary operative revision. Late complications, such as delayed healing, were resolved by reoperation in 1 case.
Long PFN is a quality implant which extends our options in the treatment of ipsilateral hip and femoral shaft fractures. It is one of the most beneficial implants in the category of reconstruction nails. The availability of only 3 nail lengths and 1 diameter presents a certain drawback.
本文回顾性评估一组采用长型股骨近端髓内钉（PFN-long）治疗的同侧股骨近端和股骨干骨折患者。
1998年至2003年期间治疗了19例患者（14例男性和5例女性），平均年龄48岁。骨折包括2种类型：股骨颈和股骨干联合关节内骨折8例，以及11例复杂的股骨近端关节外骨折及其股骨干骨折。
根据Sanders和Regazzoni评分量表对总共17例随访至少12个月的患者进行了评估。所有患者均实现骨愈合。10例患者（59%）在6个月内实现骨愈合，16例患者（94%）在9个月内实现骨愈合，1例患者在12个月内愈合。优良率为59%，良好率为35%，满意率为6%。我们记录了3例术后并发症（16%）。这些并发症均由于复位不完美所致。早期并发症包括伤口血肿，需进行手术翻修。晚期并发症，如延迟愈合，1例通过再次手术得到解决。
长型PFN是一种优质植入物，扩展了我们治疗同侧髋部和股骨干骨折的选择。它是重建钉类别中最有益的植入物之一。仅提供3种钉长度和1种直径存在一定缺点。
