80岁以上老年人股骨转子间骨折的手术治疗  

A clinical analysis of internal fixation in the treatment of femoral intertrochanteric fracture in aged patients

作　　者：陈名智[1] 伍骥[1] 董树理[1] 刘志雄[1] 贾光[1] 

机构地区：[1]空军总医院骨科,北京100036

出　　处：《空军总医院学报》2001年第3期142-144,共3页Journal of General Hospital of Air Force,PLA

摘　　要：目的　探讨治疗老年人股骨转子间骨折的疗效。　方法　回顾性分析 2 3例 80～ 93岁老年股骨转子间骨折患者的临床资料。　结果　 2 3例中 ,股骨转子间稳定型骨折 6例 ,不稳定型 17例 ;患有不同程度并存疾病 12例。术后约 14～ 18周完全负重。本组无手术死亡。平均随访 32月 ,术后优良率为 82。 6 % (优 8例 ,良 11例 )。　结论　动力加压螺纹钉 (DHS)固定牢固 ,在患者早期康复、减少并发症方面优于Objective To study the clinical effect of Dynamic Compression Hip Screw on femoral intertrochanteric fracture of aged. Methods The clinical data of 23 patients aged 80～93 years with femoral intertrochanteric fracture and different associated diseases were analyzed and compared with the results of other methods Results There were 6 cases of stable type and 17 cases of unstable type in the 23 cases of intertrochanteric fracture. 12 cases had different associated diseases. Extra epidural anesthesia Local anesthesia and General anesthesia was applied in all cases. No death occurred. Patients could endure full load after about 14～18 weeks postoperatively. 32 months follow up showed excellent and good results in 82.6%. Conclusions Dynamic Compression Hip screw was stronger than 135 angled plate and screws in fixation of femoral intertrochanteric fracture. It facilitates early ambulation and rehabilitation.

关 键 词：老年病学 股骨骨折 骨折固定术 内 

分 类 号：R592[医药卫生—老年医学] R683.42[医药卫生—内科学] R687.32[医药卫生—临床医学]