Takigami Iori, Matsumoto Kazu, Ohara Akira, Yamanaka Kazuteru, Naganawa Toshitaka, Ohashi Minoru, Date Kazuto, Shimizu Katsuji
Department of Orthopaedic Surgery, Gifu University School of Medicine, Gifu, Japan.
Bull NYU Hosp Jt Dis. 2008;66(4):276-9.
Currently, intramedullary devices are widely used for the treatment of trochanteric femoral fractures. A new device designed by AO/ASIF, the PFNA (proximal femoral nail antirotation), represents a unique intramedullary nail system for improved management, particularly in the elderly. The aim of the present study was to analyze the results of treatment with PFNA in 50 patients with trochanteric fractures. The operating time, intraoperative blood loss, and intraoperative and postoperative complications were recorded. The length of the surgical procedure averaged 20.3 min, and intraoperative blood loss averaged 22.8 mL. Reoperation was necessary in two patients (4%). We conclude that the PFNA nail is as effective as other implants in the treatment of trochanteric fractures.
目前，髓内装置被广泛用于治疗股骨转子间骨折。AO/ASIF设计的一种新型装置——股骨近端抗旋髓内钉（PFNA），是一种独特的髓内钉系统，可改善治疗效果，尤其适用于老年患者。本研究的目的是分析50例转子间骨折患者采用PFNA治疗的结果。记录手术时间、术中出血量以及术中和术后并发症。手术过程平均时长为20.3分钟，术中平均出血量为22.8毫升。两名患者（4%）需要再次手术。我们得出结论，PFNA在治疗转子间骨折方面与其他植入物一样有效。
