PFNA粗隆间骨折治疗--幻灯片

epartment of Orthopedics , Guangdong General Hospital, Guangdong Academy of Medical SciencesClassification ---- AOClassification ---- AOA1:顺粗隆间简单的两部分骨折,内侧有良好的骨皮质支撑A2:粗隆间粉碎性骨折,内侧和后方破裂,外侧骨皮质完好A3:外侧骨皮质破裂,逆转之间骨折Classification ---- AOClassification ---- AODepartment of Orthopedics , Guangdong General Hospital, Guangdong Academy of Medical SciencesA1A2A331 – A2/331 – A2/331 – A 131 – A 1稳定的骨折稳定的骨折不稳定的骨折不稳定的骨折Background Background 手术治疗保守治疗——牵引保守治疗——牵引保守治疗——防旋鞋保守治疗——防旋鞋Department of Orthopedics , Guangdong General Hospital, Guangdong Academy of Medical Sciences?年龄、健康状况?骨的质量?骨折的几何力学影响治疗的因素影响治疗的因素?复位?内植物的选择?内植物的准确放置不可控制因素可控制因素4早期完全负重在骨质疏松骨有很好的抓持力操作简单对骨折能进行动力加压置入内植物时避免造成医源性骨折保护骨的血供216345Department of Orthopedics , Guangdong General Hospital, Guangdong Academy of Medical Sciences理想的内植物所需的条件理想的内植物所需的条件