The Proximal Femur Intramedullary Nail (PFNA) Closed Reduction Treatment Between The Thick Long Fracture Clinical Curative Effect

Objective: to study the clinical surgery, patients were followed up, observation ofthe femoral screw blade cephalo-medullary nailing (PFNA) internal fixation closedreduction treatment of intertrochanteric fractures (AO type) of the clinical curative effect.Methods: in September2009,2011to October36patients with unilateral betweenintertrochanteric fractures of the patients had closed, including male:14cases, female:22cases, aged40to100years, average age;79.8years old. According to the AO type: the A1type2cases: A2type28cases: the A3type6); All use of spiral blade proximal femurintramedullary nail (PFNA) closed reduction fixation treatment. Record operation time,patients with amount of blood loss, postoperative weight time, fracture healing and Harriship functional recovery of the score.Results: the mean operation time59.1minutes, the bleeding109ml, postoperativeload time8.4days, follow-up16months, an average of nine months,36patients take theX-ray and meet all the standards of clinical healing fracture healing average time62days,Harris hip score was94.4%.Conclusion: PFNA treatment of intertrochanteric fractures with operation time is short, theless blood loss, allow early activity and weight, and the fracture healing to clinical standards and higherHarris hip score was, PFNA proof within the fixed closed reduction treatment of intertrochantericfractures can get satisfactory clinical curative effect.