Application of Lateral Wall Protection for Intertrochanteric Fractures Fixed with Proximal Femoral Nail Antirotation_West China Medical Journal

Authors：

 ZHANGXi-hai , ZHUONai-qiang ,  LUXiao-bo

Department of Bone and Joint Surgery, the First Affiliated Hospital of Luzhou Medical College, Luzhou, Sichuan 646000, P. R. China;

Corresponding author：

LUXiao-bo, Email: luxiaobo1963@126.com

Keywords：

Lateral wall; Intertrochanteric fracture; Proximal femoral nail antirotation

DOI：

10.7507/1002-0179.20140079

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the lateral wall protection skills for aged femoral intertrochanteric fractures fixed with proximal femoral nail antirotation (PFNA). Methods Sixty aged patients with femoral intertrochanteric fractures were treated with PFNA between March 210 and January 2011.According to Evans classification,31 were type Ⅰc,18 were Ⅰd,and 11 were type Ⅱ.Several skills were applied to prevent the breaking of the lateral wall.Post-operative complications,bone union and recovery of hip function were recorded. Results The patients were followed up for 12 to 18 months.All fractures were healed without infection or failure of internal fixation. Conclusion PFNA is a good choice for the clinical treatment of unstable femoral intertrochanteric fractures in aged patients.To obtain better clinical result,the lateral wall must be considered and well protected.

Citation： ZHANGXi-hai, ZHUONai-qiang, LUXiao-bo. Application of Lateral Wall Protection for Intertrochanteric Fractures Fixed with Proximal Femoral Nail Antirotation. West China Medical Journal, 2014, 29(2): 256-258. doi: 10.7507/1002-0179.20140079 Copy

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10.	吴岗,方跃,裴福兴,等.PFNA治疗老年股骨转子间骨折29例体会[J].华西医学,2009,24(6):1539-1541.
11.	唐佩福,姚琦,黄鹏,等.股骨近端髓内钉-螺旋刀片治疗高龄骨质疏松性股骨转子间骨折[J].中华创伤骨科杂志,2007,9(7):622-624.
12.	Gotfried Y.The lateral trochanteric wall:a key element in the reconstruction of unstable pertrochanteric hip fractures[J].Clin Orthop Relat Res,2004(425):82-86.
13.	Palm H,Jacobsen S,Sonne-Holm S,et al.Integrity of the lateral femoral wall in intertrochanteric hip fractures:an important predictor of a reoperation[J].J Bone Joint Surg Am,2007,89(3):470-475.
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15.	张世民,祝晓忠,黄轶刚,等.外侧壁危险型股骨粗隆间骨折DHS与PFNA治疗的回顾性对比研究[J].中国矫形外科杂志,2010,18(22):1868-1872.

1. 梁雨田,唐佩福.老年髋部骨折[M].北京:人民军医出版社,2009:61-62.
2. 黄俊,纪方,曹磊,等.DHS、Gamma钉和PFNA治疗老年骨质疏松性股骨粗隆间骨折[J].第二军医大学学报,2008,29(10):1261-1263.
3. 郑红根,唐昊,张秋林.两种不同内固定治疗股骨粗隆间骨折的比较研究[J].中国矫形外科杂志,2009,17(6):407-410.
4. 刘永强,范金鹏,高兰芳,等.PFNA与DHS治疗不稳定性股骨粗隆间骨折疗效分析[J].实用骨科杂志,2011,17(8):742-744.
5. 顾春生,崇汉卿.股骨粗隆间骨折不同内固定术式的疗效分析[J].中国骨与关节损伤杂志,2011,26(12):1107-1108.
6. 魏朝阳,赵文,周忠鸿.股骨近端抗旋髓内钉在老年股骨粗隆间骨折治疗中的应用[J].华西医学,2012,27(7):1061-1062.
7. 王海全,田金凤,焦玉峰.股骨近端防旋髓内钉内固定术治疗老年股骨粗隆间骨折[J].山东医药,2011,51(46):105-106.
8. 张根福,王正明,鲍丰,等.股骨近端抗旋髓内钉在股骨转子周围骨折中的应用[J].中华创伤杂志,2010,26(8):709-712.
9. 张东,张廷玖,庾明.闭合复位PFNA内固定治疗股骨粗隆间骨折[J].重庆医学,2010,39(18):2543-2544.
10. 吴岗,方跃,裴福兴,等.PFNA治疗老年股骨转子间骨折29例体会[J].华西医学,2009,24(6):1539-1541.
11. 唐佩福,姚琦,黄鹏,等.股骨近端髓内钉-螺旋刀片治疗高龄骨质疏松性股骨转子间骨折[J].中华创伤骨科杂志,2007,9(7):622-624.
12. Gotfried Y.The lateral trochanteric wall:a key element in the reconstruction of unstable pertrochanteric hip fractures[J].Clin Orthop Relat Res,2004(425):82-86.
13. Palm H,Jacobsen S,Sonne-Holm S,et al.Integrity of the lateral femoral wall in intertrochanteric hip fractures:an important predictor of a reoperation[J].J Bone Joint Surg Am,2007,89(3):470-475.
14. Langford J,Pillai G,Ugliailoro AD,et al.Perioperative lateral trochanteric wall fractures:sliding hip screw versus percutaneous compression plate for intertrochanteric hip fractures[J].J Orthop Trauma,2011,25(4):191-195.
15. 张世民,祝晓忠,黄轶刚,等.外侧壁危险型股骨粗隆间骨折DHS与PFNA治疗的回顾性对比研究[J].中国矫形外科杂志,2010,18(22):1868-1872.

West China Medical Journal

Application of Lateral Wall Protection for Intertrochanteric Fractures Fixed with Proximal Femoral Nail Antirotation

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