股骨近端防旋髓内钉治疗不稳定性股骨转子间 骨折内固定的研究进展

王 海1, 郑 峰2
1、青海大学研究生院
2、青海省人民医院

摘要


股骨转子间骨折是老年人常见的骨折类型，尤其是不稳定型骨折，治疗难度大，并发症发生率高。股骨近
端防旋髓内钉（PFNA）作为一种重要的内固定方法，在治疗不稳定性股骨转子间骨折方面显示出独特优势。本文系
统回顾了关于PFNA治疗不稳定性股骨转子间骨折的研究进展，重点分析了PFNA与其他内固定方法的比较、PFNA
技术要点与影响因素、临床效果和并发症以及技术创新与改进。研究表明，PFNA在手术时间、术中失血量、生物力
学稳定性和功能恢复方面具有明显优势。近年来，机器人辅助PFNA手术、PFNA联合骨水泥强化内固定、防旋刀片
方向优化和外侧壁处理策略优化等创新为提高PFNA治疗效果提供了新思路。然而，PFNA治疗仍面临并发症风险和
技术要求高等挑战。未来研究应关注个体化治疗策略、技术创新、生物材料结合、长期随访研究和高质量临床研究，
以进一步提高PFNA治疗不稳定性股骨转子间骨折的效果和安全性。

关键词


股骨转子间骨折；不稳定性；股骨近端防旋髓内钉；内固定；研究进展

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参考


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