doi:10．3969/j．issn．1008-0287．2023．03．033·临床论著·股骨近端防旋髓内钉联合骨水泥强化治疗老年股骨转子间骨折白尚，马大年，付安安，顾欣亚，赵喆摘要:目的探讨股骨近端防旋髓内钉(PFNA)联合骨水泥强化治疗老年股骨转子间骨折的疗效。方法将68例老年股骨转子间骨折患者按照是否使用骨水泥强化分为观察组(采用PFNA联合骨水泥强化治疗)和对照组(采用常规PFNA治疗)，各34例。比较两组手术相关情况、骨折愈合情况、内置物固定情况及髋关节功能Harris评分。结果患者均获得12个月随访。手术时间观察组长于对照组(P＜0.05)。术后开始下地时间、术后3个月骨痂形成优良率、骨折愈合时间、术后1及6个月髋关节功能Harris评分观察组均优于对照组(P＜0.05)。对照组出现1例螺旋刀片切割，观察组未发生螺旋刀片松动、切割。结论与常规PFNA相比，PFNA联合骨水泥强化治疗老年股骨转子间骨折具有患者术后下地时间早、骨折愈合快、内固定稳定性好、关节功能恢复更好的优点。关键词:股骨转子间骨折;股骨近端防旋髓内钉;骨质疏松;老年人中图分类号:Ｒ683.42;Ｒ687.33文献标识码:A文章编号:1008－0287(2023)03－0413－04Proximalfemoralnailantirotationandbonecementaugmentationfortreatmentoffemoralin-tertrochantericfractureintheelderlyBAIShang，MADa-nian，FUAn-an，GUXin-ya，ZHAOZhe(DeptofOrthopaedics，thePeople'sHospitalofXuyiCounty，Huai'an，Jiangsu211700，China)Abstract:ObjectiveToinvestigatetheefficacyofproximalfemoralnail-rotation(PFNA)combinedwithbonece-mentaugmentationinthetreatmentofelderlyfemoralintertrochantericfractures．MethodsThe68elderlypatientswithfemoralintertrochantericfracturesweredividedintoobservationgroup(usingPFNAcombinedwithbonecementaugmentationmethod)andcontrolgroup(usingconventionalPFNAfortreatment)，accordingtowhetherthebonece-mentwasenhancedornot，with34casesineachgroup．Thesurgeryrelatedconditions，fracturehealingcondition，im-plantationfixationsituationandHarrisscoreofhipfunctionwerecomparedbetweenthetwogroups．ＲesultsAllpatientswerefollowedupfor12months．Theoperationtimeofobservationgroupwaslongerthanthatofcontrolgroup(P＜0.05)．Theobservationgroupwasbetterthanthecontrolgroupinthestartingoftheground-downtimeaftersur-gery，excellent-...
