期刊文献+

骨质疏松症股骨转子间骨折103例治疗探讨 被引量:6

在线阅读 下载PDF
导出
摘要 目的:探讨骨质疏松症股骨转子间骨折治疗的理想方法。方法:收集转子间骨折137例,其中103例同时伴有骨质疏松症,49例采取了动力髋螺钉的固定方法,手术方法进行了部分改良,其余采取了Gamma钉、空心钉、多根针、外固定架以及骨牵引等其他方法,平均随访18个月后,对髋关节功能恢复及骨折愈合良好率进行对比。结果:所有病例均在8~15周骨折愈合,髋关节功能优良率82.5%。结论:动力髋螺钉固定方法手术操作闭合复位、有限切开,损伤较小、出血较少、固定牢靠、并发症少,可以早期下床、早期愈合,是一种治疗股骨转子间骨折的理想方法。
出处 《陕西医学杂志》 CAS 北大核心 2007年第7期855-856,共2页 Shaanxi Medical Journal
  • 相关文献

参考文献4

二级参考文献15

  • 1汤成华,陈志强,王蔚.伴骨质疏松症的股骨颈骨折[J].中国骨伤,1996,9(6):54-54. 被引量:33
  • 2戴力扬,袁文,刘岩,欧阳跃平,李晓华,刘祖德,周维江.角钢板内固定治疗股骨粗隆间骨折[J].中国矫形外科杂志,1996,3(4):245-246. 被引量:46
  • 3朱通伯 戴克戎.骨科手术学,第2版[M].人民卫生出版社,1999.1955.
  • 4董天华.对骨折治疗中几个问题的意见[J].中华骨科杂志,1996,16(4):203-203.
  • 5Zuckerman JD, Skovron ML, Koval KJ, et al. Postoperative complications and mortality associated with operative delay in order patients who have fracture of the hip. J Bone Joint Surg(Am), 1995,77:1551.
  • 6K. Casey Chan, Gurdev S, Gill. Cemented hemiarthroplasties for elderly patients with intertrochanteric fractures. Clin Orthop, 2000, 317 (2):206-215.
  • 7荣国威 翟桂华 等.骨科内固定,第3版[M].北京:人民卫生出版社,1998.365-367.
  • 8S.TERRYCANALE 卢世壁主译.坎贝尔骨科手术学[M].济南:山东科学技术出版社,2001.2000-2004.
  • 9Cronell CN.Management of fracture in patient with osteoprosis[J].The Orthopaedic Clinics of North America,1990,21:125~127.
  • 10Kukla,Heinz T,Berger G,et al.Gamma nail versus DHS in 120 patients over 60 year:a randomized trial[C].Read at the Annual Meeting of the Orthopaedic Trauma Association.1998,Vancouver,BC,Canada.

共引文献48

同被引文献30

  • 1张奎,李邦春.DHS治疗股骨粗隆间骨折[J].实用骨科杂志,2005,11(3):208-210. 被引量:7
  • 2郑得志,于建华,杨有庚,周连星,李卫哲,林枫松.股骨转子间骨折动力髋螺钉内固定失败的危险因素[J].中华创伤杂志,2006,22(2):129-132. 被引量:109
  • 3张长青,邹剑.锁定钢板内固定的手术误区及对策分析[J].中华创伤骨科杂志,2007,9(8):767-770. 被引量:34
  • 4Stern R. Are there advances in the treatment of extraca psular hip fractures in the elderly[J]. Injury, 2007,38 (S3) :77-87.
  • 5Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review[J]. Injury, 2006, 37(8): 691-697.
  • 6Ekstrom W, Karlsson Thur C, Larsson S, et al. Functional outcome in treatment of unstable trochanteric and subtrochanteric fractures with the proximal femoral nail and the Medoff sliding plate[J]. J Orthop Trauma, 2007, 21(1):18-25.
  • 7Mohamad S,Shuid AN,Mohamed N,et al.The effects of alpha-tocopherol supplementation on fracture healing in a postmenopausal osteoporotic rat mode(lJ).Clinics(Sao Paulo),2012;67(9):1077-85.
  • 8Takada J,Iba K,Yoshizaki T,et al.Correlation between a bone resorption marker and structural geometry of the proximal femur in osteoporotic women treated with raloxifene[J].J Orthop Surg(Hong Kong),2012;20(2):209-13.
  • 9Bohm ER,Tufescu TV,Marsh JP.The operative management of osteopo-rotic fractures of the knee:To fix or replace[J].J Bone Joint Surg Br,2012;94(9):1160-9.
  • 10Takeuchi Y.Diabetes mellitus and osteoporosis.Therapeutic strategy for osteoporosis in patients with diabetes mellitus[J].Clin Calcium,2012;22(9):1410-5.

引证文献6

二级引证文献63

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部