中国老年患者股骨近端抗旋髓内钉（PFNA）的治疗结果。
Results of the proximal femoral nail anti-rotation (PFNA) in elderly Chinese patients.
作者信息
Pu Jin-Song, Liu Lei, Wang Guang-Lin, Fang Yue, Yang Tian-Fu
机构信息
Department of Orthopaedic Surgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang, Chengdu, 610041, Sichuan Province, People's Republic of China.
出版信息
Int Orthop. 2009 Oct;33(5):1441-4. doi: 10.1007/s00264-009-0776-3. Epub 2009 Apr 15.
Abstract
A prospective study is presented of 87 unstable intertrochanteric fractures treated with the proximal femoral nail anti-rotation (PFNA) with a follow-up of one year. Of the patients 76% were female. The average age was 75.3 years. The fracture was treated by closed reduction and intramedullary fixation. Pre-injury activity level was recovered in 77% of the patients. Fractures united in all patients. Mechanical failure and cut-out were not observed. A technical problem related to the mismatch of the proximal end of the nail was observed in 11 cases. Nine patients presented with thigh pain due to the redundant proximal end of the nail. The results of the PFNA were satisfactory in most elderly Chinese patients. However, the proximal end of the nail was not matched with the specific anatomy of some short elderly patients. Further modifications of the nail are necessary for the elderly Chinese population.
摘要
本文呈现了一项前瞻性研究，对87例采用股骨近端抗旋髓内钉（PFNA）治疗的不稳定型股骨转子间骨折患者进行了为期一年的随访。患者中76%为女性。平均年龄为75.3岁。骨折采用闭合复位髓内固定治疗。77%的患者伤前活动水平得以恢复。所有患者骨折均愈合。未观察到机械性失败和内固定物穿出情况。11例患者观察到与髓内钉近端不匹配相关的技术问题。9例患者因髓内钉近端多余而出现大腿疼痛。PFNA的治疗结果在大多数中国老年患者中令人满意。然而，髓内钉近端与一些身材矮小的老年患者的特定解剖结构不匹配。对于中国老年人群，有必要对髓内钉进行进一步改良。
相似文献
1
Results of the proximal femoral nail anti-rotation (PFNA) in elderly Chinese patients.
Int Orthop. 2009 Oct;33(5):1441-4. doi: 10.1007/s00264-009-0776-3. Epub 2009 Apr 15.
2
A retrospective analysis of the InterTan nail and proximal femoral nail anti-rotation-Asia in the treatment of unstable intertrochanteric femur fractures in the elderly.
J Orthop Surg Res. 2016 Jan 15;11:10. doi: 10.1186/s13018-016-0344-7.
3
Comparison of the reconstruction trochanteric antigrade nail (TAN) with the proximal femoral nail antirotation (PFNA) in the management of reverse oblique intertrochanteric hip fractures.
Injury. 2015 Dec;46(12):2389-93. doi: 10.1016/j.injury.2015.09.038. Epub 2015 Oct 13.
4
Percutaneous compression plate versus proximal femoral nail anti-rotation in treating elderly patients with intertrochanteric fractures: a prospective randomized study.
J Orthop Sci. 2013 Nov;18(6):977-86. doi: 10.1007/s00776-013-0468-0. Epub 2013 Oct 2.
5
Prospective randomized study comparing two cephalomedullary nails for elderly intertrochanteric fractures: Zimmer natural nail versus proximal femoral nail antirotation II.
Injury. 2017 Jul;48(7):1550-1557. doi: 10.1016/j.injury.2017.04.011. Epub 2017 Apr 13.
6
Proximal femoral nails anti-rotation versus dynamic hip screws for treatment of stable intertrochanteric femur fractures: an outcome analyses with a minimum 4 years of follow-up.
BMC Musculoskelet Disord. 2016 May 21;17:222. doi: 10.1186/s12891-016-1079-7.
7
Cephalomedullary nail versus sliding hip screw for unstable intertrochanteric fractures in elderly patients.
J Orthop Surg (Hong Kong). 2013 Dec;21(3):308-12. doi: 10.1177/230949901302100309.
8
[Effectiveness comparison of proximal femoral nail anti-rotation and locking compression plate for intertrochanteric fractures with lateral unsubstantial femoral wall in elderly patients].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014 Oct;28(10):1199-203.
9
The proximal femur nail antirotation: an identifiable improvement in the treatment of unstable pertrochanteric fractures?
J Trauma. 2011 Jul;71(1):169-74. doi: 10.1097/TA.0b013e3182213c6e.
10
The visible and hidden blood loss of Asia proximal femoral nail anti-rotation and dynamic hip screw in the treatment of intertrochanteric fractures of elderly high- risk patients: a retrospective comparative study with a minimum 3 years of follow-up.
BMC Musculoskelet Disord. 2016 Jul 11;17:269. doi: 10.1186/s12891-016-1143-3.
引用本文的文献
1
A retrospective comparative study of the clinical and radiological outcomes of intertrochanteric fractures treated with proximal femoral nail antirotation (PFN-A) and INTERTAN nail.
PLoS One. 2025 Jan 6;20(1):e0316954. doi: 10.1371/journal.pone.0316954. eCollection 2025.
2
Anterior Cortical Impingement With 240 mm Cephalo-Medullary Nail (PFN and PFNA-2) in Intertrochanteric Femur Fracture Fixation in the Indian Population: A Problem Statement.
Cureus. 2024 Aug 30;16(8):e68207. doi: 10.7759/cureus.68207. eCollection 2024 Aug.
3
Comparison of Twin Screw Derotation Type Versus Single Helical Blade Type Cephalomedullary Nail in the Management of Unstable Intertrochanteric Fractures.
Cureus. 2024 Jun 4;16(6):e61638. doi: 10.7759/cureus.61638. eCollection 2024 Jun.
4
GS Hip Nail versus Affixus Hip Fracture Nail for the Intramedullary Nailing of Intertrochanteric Fractures.
J Clin Med. 2023 Oct 24;12(21):6720. doi: 10.3390/jcm12216720.
5
Proximal femoral bionic nail (PFBN)-an innovative surgical method for unstable femoral intertrochanteric fractures.
Int Orthop. 2023 Apr;47(4):1089-1099. doi: 10.1007/s00264-023-05696-y. Epub 2023 Jan 31.
6
Thigh Pain and Peri-Implant Fractures with the Use of Short Cephalo-medullary Nails: A Retrospective Study of 122 Patients.
Malays Orthop J. 2022 Nov;16(3):17-23. doi: 10.5704/MOJ.2211.004.
7
Favorable revision-free survivorship of cemented arthroplasty following failed proximal femoral nail antirotation: a case series with a median follow-up of 10 years.
BMC Musculoskelet Disord. 2022 Nov 29;23(1):1024. doi: 10.1186/s12891-022-05995-2.
8
Refracture After Removal of the PFNA in a Healed Intertrochanteric Femoral Fracture: Case Report.
Geriatr Orthop Surg Rehabil. 2022 Mar 12;13:21514593221074179. doi: 10.1177/21514593221074179. eCollection 2022.
9
Mismatch of short straight proximal femur nails with anterior bow of femur in Indian population- A radiological and functional analysis.
J Orthop. 2022 Jan 29;29:65-70. doi: 10.1016/j.jor.2022.01.006. eCollection 2022 Jan-Feb.
10
Cemented hemiarthroplasty versus proximal femoral nail antirotation in the management of intertrochanteric femoral fractures in the elderly: a case control study.
BMC Musculoskelet Disord. 2021 Oct 5;22(1):846. doi: 10.1186/s12891-021-04586-x.
本文引用的文献
1
Complications after Intramedullary Stabilization of Proximal Femur Fractures: a Retrospective Analysis of 178 Patients.
Eur J Trauma Emerg Surg. 2007 Jun;33(3):262-7. doi: 10.1007/s00068-007-6010-3. Epub 2007 Apr 9.
2
The PFNA proximal femur nail in treatment of unstable proximal femur fractures--3 cases of postoperative perforation of the helical blade into the hip joint.
J Orthop Trauma. 2008 Nov-Dec;22(10):731-6. doi: 10.1097/BOT.0b013e3181893b1b.
3
Mismatch between PFNa and medullary canal causing difficulty in nailing of the pertrochanteric fractures.
Arch Orthop Trauma Surg. 2008 Dec;128(12):1443-6. doi: 10.1007/s00402-008-0736-1. Epub 2008 Sep 11.
4
The new proximal femoral nail antirotation (PFNA) in daily practice: results of a multicentre clinical study.
Injury. 2008 Aug;39(8):932-9. doi: 10.1016/j.injury.2008.02.005. Epub 2008 Jun 25.
5
First results with the trochanter fixation nail (TFN): a report on 120 cases.
Arch Orthop Trauma Surg. 2006 Dec;126(10):706-12. doi: 10.1007/s00402-006-0117-6. Epub 2006 Aug 8.
6
A randomised comparison of AMBI, TGN and PFN for treatment of unstable trochanteric fractures.
Arch Orthop Trauma Surg. 2005 Sep;125(7):462-8. doi: 10.1007/s00402-005-0021-5.
7
Complications following the treatment of trochanteric fractures with the gamma nail.
Arch Orthop Trauma Surg. 2004 Dec;124(10):692-8. doi: 10.1007/s00402-004-0744-8. Epub 2004 Oct 23.
8
Treatment strategies for proximal femur fractures in osteoporotic patients.
Osteoporos Int. 2005 Mar;16 Suppl 2:S93-S102. doi: 10.1007/s00198-004-1746-7. Epub 2004 Oct 16.
9
Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail.
J Bone Joint Surg Br. 2004 Jan;86(1):86-94.
10
Trochanteric fractures treated with a proximal femoral nail.
Int Orthop. 2001;25(5):298-301. doi: 10.1007/s002640100275.
Zotero 插件