摘要
目的探讨不同内固定方法治疗老年人股骨转子间骨折的疗效。方法对本院在2005年-2008年收治的57例股骨转子间骨折分别行动力髋螺钉(DHS)和股骨近端解剖锁定钢板和Gamma钉手术内固定治疗进行回顾性分析,并对三种手术方法在手术时间、术中出血量、术后引流量、骨折临床愈合时间、术后功能恢复程度和术后并发症进行比较。结果随访3个月～3年,57例股骨转子间骨折全部愈合,按Harris评分标准优良率达90%以上。结论 DHS和解剖锁定钢板及Gamma钉适用于稳定型骨折,均具有固定牢固,手术操作简单,并发症少等优点。但对于不稳定型骨折,则Gamma钉内固定要优于DHS及解剖锁定钢板。
Objective To approach the effect in three different internal fixations of femoral intertrochanteric fractures. Methods 57 cases of patients with femoral intertrochanterie fracture treated with Gamma nail, DHS or anatomic steel plate of proximal femoral lock from 2005 to 2008 were divided into three groups and retrospective analyzed. The result of both groups were analyzed contrastively through the operation time,the Surgical bleeding amount,the postoperative effluent amount,the clinical cicatrize time of fracture,the recover degree of postoperative function,the postoperative syndrome. Results The follow-up was 3 months to 5 years. All the 57 cases of fractures healed and the hips function recovered well. Acccording to the Harris standards of grading,the excellent and good rate was over 90%. Condusion About the stable fracture, the three methods of internal fixation proved to be firm,simple and useful with few postoperative complications.But about the unstable fracture, Gamma Nail is better than the others.
出处
《岭南现代临床外科》
2010年第2期104-106,共3页
Lingnan Modern Clinics in Surgery
