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目的 探讨PFNA与解剖型锁定钢板治疗高龄骨质疏松股骨粗隆间骨折的临床疗效.方法 2013年3月—2015年3月采用PFNA与解剖型锁定钢板治疗42例高龄骨质疏松股骨粗隆间骨折, 其中男性20例, 女性22例, 年龄56～89岁, 平均77.5岁.按Evans分型:Ⅰ型2例, Ⅱ型14例, Ⅲ型15例, Ⅳ型8例, Ⅴ型3例.在手术时间、术中出血量、术后引流液、术后切口恢复情况、骨折临床愈合时间、术后患髋关节功能等方面进行统计学分析.术后行6～12个月的随访 (平均9个月) .结果 根据Harris功能评分:优27例, 良14例, 差1例.结论 对于高龄骨质疏松股骨粗隆间骨折, PFNA是一种比较可靠的治疗方案, 手术时间少、术中出血量少、术后引流液少、术后患髋关节功能恢复快, 术后感染, 骨不连, 股骨干骨折等并发症较少.“,”Objective To investigate the clinical effect of PFNA and anatomical locking plate in the treatment of senile osteoporotic femoral intertrochanteric fractures. Methods To investigate the March 2013 to 2015 March PFNA and anatomical locking plate in the treatment of 42 cases of senile osteoporotic femoral intertrochanteric fracture, 20 males, 22 females, aged 56 ～ 89 years old, average 77. 5 years old. According to Evans types: type Ⅰ, 2 cases, 14 cases of type Ⅱ, type Ⅲ in 15 cases, 8 cases of type Ⅳ, Ⅴ type in 3 cases. In operative time, intraoperative bleeding volume, postoperative drainage, postoperative recovery of incision and clinical healing time of fracture, postoperative hip joint function of statistical analysis. Postoperative 6 ～ 12 months follow-up (average 9 months). Results According to Harris function score: excellent in 27 cases, good in 14 cases and poor in 1 cases. Conclusion For the elderly osteoporotic femoral intertrochanteric fractures, PFNA is a reliable treatment option, less operation time, less intraoperative blood loss, postoperative drainage less, postoperative hip function quick recovery, postoperative infection, bone, femoral shaft fracture with less complications.