关键词: PFN, 股骨粗隆间骨折, 内固定, Proximal femoral nail (PFN), Intertrochanteric fracture of femur, Internal fixation

Abstract: Objective To investigate the application and curative effect on paoximal femoral nail (PFN) in the treatment of intertrochanteric fracture of femur. Methods From April 2004 to August 2009, 48 cases with intertrochanteric fracture of femur received treatment of closed reduction and OFN internal fixation were analyzed retrospectively. According to Evans-Jensen typing criterion of intertrochanteric fracture of femur, the type Ⅰ,Ⅱ,ⅢA,ⅢB AND Ⅳ were in 2,6,7,5 and 3 cases respectigely. Roentgenograph was re-checked to judge the union good rates of articular function were evaluated. Results No death was found during hospitalization. Except for 2 cases died from cardiovascular systemic diseases, follow-up was got in 21 cases. The follow-up time ranged from 9-15 months(mean 13 months). The union was got in all cases. The postoperative hip joint function score: the excellent, good and poor were in 18,2 cases and 1 case respectively. The excellent and good rate were in 95%. Conclusion PFN possesses less trauma;reliable fixation, good anti-rotated action and less postoperative complications. It is an ideal method of internal fixation for the treatment of intertrochanteric fracture of femur.