摘 要 目的：研究微创股骨近端防旋髓内钉(proximal femoral nail antirotation，PFNA)对外侧壁完整型和危险型股骨转子间骨折的预后。方法：回顾性分析92例股骨转子间骨折患者资料，根据术前股骨X线片及CT扫描结果分为外侧壁完整型(52例)和外侧壁危险型(40例)，2组均经过PFNA手术治疗。结果：外侧壁完整型组的术中出血量、术后首次下床活动时间、住院时间、骨折愈合时间、末次随访时髋关节屈伸活动度及Harris评分均显著优于外侧壁危险型(P<0.05)。结论：微创PFNA用于外侧壁完整型股骨转子间骨折的治疗，具有Harris评分优良率高、骨折愈合和负重所需时间短等优点。

    关键词 股骨近端防旋髓内钉 外侧壁 股骨转子间骨折

    中图分类号：R687.33； R683.42 文献标志码：A 文章编号：1006-1533(2024)17-0049-04

    引用本文 程晋涛. 微创股骨近端防旋髓内钉对股骨转子间骨折预后的影响[J]. 上海医药， 2024， 45(17)： 49-52.

    Effect of minimally invasive proximal femoral nail antirotation on the prognosis of intertrochanteric fracture of the femur

    CHENG J5HPZeel9RuIqJKYzse1KAA==intao

    (Department of Trauma and Orthopedics， Yellow River Sanmenxia Hospital， Sanmenxia 472000， China)

    ABSTRACT Objective： To study the prognosis of minimally invasive proximal femoral nail antirotation (PFNA) in the t3JIvj0Q8z2vT/VqB2Mbp5A==reatment of lateral wall intact and dangerous intertrochanteric fractures. Methods： The data from 92 patients with femoral intertrochanteric fractures were retrospectively analyzed. The patients were divided into lateral wall intact type (52 cases ......