目的:比较自制股骨颈轴向控制髓内钉(axial controlled intramedullary nail of the femoral neck简称ACINFN钉)与A-P型Gamma钉治疗股骨转子间骨折的远期疗效.方法:运用影像学,术后患肢功能和术后并发症对48例ACINFN钉,66例A-P型Gamma钉术后随访进行综合评定.结果:ACINFN钉术后解剖复位率83.33%.髋关节功能优良率达93.75%.术后并发症:异位骨化4例,占8.33%;异物残留1例,占2.08%;无内固定断裂、颈螺钉穿出股骨头、髋内翻和继发性股骨骨折等严重并发症发生.明显优于A-P型Gamma钉.结论:ACINFN钉具有创伤小,解剖复位率高,髋关节功能恢复好和并发症少的优点,不失为治疗股骨转子周围部骨折可供选择的方法之一.