老年股骨转子间骨折PFNA固定术后整体稳定性的影响因素分析

发布时间：2018-04-30 05:43

  本文选题：股骨转子间骨折 + PFNA　； 参考：《辽宁中医药大学学报》2016年02期

【摘要】：目的:分析老年股骨转子间骨折PFNA固定后整体稳定性的影响因素。方法:选取92例老年股骨转子间骨折患者临床资料,对其固定后整体稳定性进行评价并统计分析。结果:对92例患者PFNA固定后的整体稳定程度进行评价,其中稳定71例,不稳定21例,稳定率77.2%。对其影响因素进行单因素分析表明:骨质疏松、后内侧皮质完整程度、螺旋刀的置入位置等3因素对整体稳定性的影响有显著意义(P0.05)。结论:骨质疏松、后内侧皮质完整程度、螺旋刀的置入位置是影响PFNA固定后整体稳定性的主要因素,合理置钉区内置入螺旋刀有利于提高骨折固定后的整体稳定性。
[Abstract]:Objective: to analyze the influencing factors of global stability of senile intertrochanteric fracture after PFNA fixation. Methods: 92 elderly patients with intertrochanteric fracture of femur were selected to evaluate the overall stability after fixation. Results: the overall stability of 92 patients with PFNA fixation was evaluated, including 71 cases of stability and 21 cases of instability. The stability rate was 77.2%. Univariate analysis showed that osteoporosis, the integrity of the posterior medial cortex and the position of the spiral knife had significant effects on the overall stability. Conclusion: osteoporosis, the integrity of the posterior medial cortex and the position of the spiral knife are the main factors affecting the overall stability after PFNA fixation. The reasonable placement of the screw knife in the nail area is helpful to improve the overall stability of the fracture after fixation.
【作者单位】： 广州中医药大学第一附属医院;
【基金】：广东省自然科学基金项目(2014A030310379) 广州市科技计划一般项目(201510010005) 国家中医药管理局2013年全国名老中医药专家传承工作室建设项目
【分类号】：R687.3
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本文编号：1823350