不安定型大腿骨転子部骨折に対するＰＦＮＡの治療成績

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  • The Clinical Results of the Osteosynthesis of Unstable Femoral Trochanteric Fractures with PFNA

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This study evaluates the clinical results of osteosynthesis on femoral trochanteric fractures. Sixteen cases (5 men, 11 women, mean age 84.9 years) were treated with proximal femoral nail antirotation (PFNA) from May 2005 to March 2006. The mean period from injury to surgery was 4.3 days (range 0 to 8 days) and the mean follow-up period was 5.2 months (range 3 to 13 months). Using the AO classification, two fractures were classified as 31-A1 and 14 fractures as 31-A2. All cases resulted in bone union. There were no postoperative incidents of varus deformity, neck rotation, infection or severe impairment of walking ability. We conclude that the proximal femoral nail antirotation produces very satisfying results for internal fixation of unstable femoral trochanteric fractures.

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