Clinical Observation Of PFNA In The Treatment Of Unstable Intertrochanteric Fractures Over 80 Years Old

Objective:Retrospective analysis and evaluate PFNA internal fixation for the treatment of unstable over80clinical curative effect of intertrochanteric fractures, discuss the choice of treatment, improve the understanding of the therapeutic methods.Methods:Screening of the fourth people’s hospital of guiyang in November2011to June2013, a total of48patients, all adopt PFNA internal fixation surgery. Follow-up of3-12months, an average of9months, record patients’gender, age, operation time, incision length, operation the bleeding, fracture healing time and postoperative complications;USES the Harris hip score, evaluation of fracture healing after hip joint function recovery, the clinical curative effect of evaluation PFNA.Results:A total of48cases, follow-up42cases (87.5%), along with the visitors all osseous healing, average healing time of14.3±1.4weeks;Incision length, on average,6.2±0.7cm;The average operation time49.5±6.0min, mean blood loss was164.4±58.0ml, and the average hospital stay was15.0±5.0d, and the average Harris hip function score:31cases were excellent,7cases were fine,4cases were generally, and the average Harris hip function score was88.2±6.0points, We got an excellent rate of.Conclusion:PFNA conforms to biomechanical fixed, fixed effect is strong and reliable;Operation simple and easy to master, shorter operation time, surgical blood loss, less light trauma, less complications and postoperative early activity, fast recovery of hip joint function and functional recovery satisfaction, is the treatment of type unstable intertrochanteric fractures in a kind of ideal equipment, worthy of our indepth research and extension.