关键词: 股骨近端, 防旋髓内钉, 股骨转子间骨折, 股骨干骨折

Abstract: 【Abstract】〓Objective〓To investigate the effect of reconstruction nail and lengthened PFNA for treatment of femoral shaft fractures with femoral intertrochanteric fractures. Methods〓Sixty patients with femoral shaft fractures and intertrochanteric fractures were admitted in our hospital and divided into two group, the reconstruction nail group (n=30) treated with the reconstruction nail fixation and lengthened PFNA group treated with long proximal femoral nail antirotation. The operation time, intraoperative blood loss, fracture healing time, incision size, complications, Harris score, Lyshonlm score were compared between two groups. Results〓All cases were recovered and no severe complications occurred in two groups. The blood loss was higher and incision size was larger in lengthened PFNA group than that in reconstruction nail group (P<0.05). No statistically significant difference was found in operation time between two groups. Fracture healing time in reconstruction nail group longer than that in reconstruction nail group (P<0.05). Harris score of all postoperative time point was higher in lengthened PFNA group than in reconstruction nail group, and Lyshonlm scores in lengthened PFNA group were lower in 2 months after operation. Conclusion〓In the present paper, PFNA showed better the clinical efficacy oin treating femoral shaft fracture with intertrochanteric fracture.

Key words: Proximal femur, Antirotation intramedullary nail, Femoral intertrochanteric fracture, Femoral shaft fracture