老年转子部骨折的手术治疗  

Operative treatment of geriatric femoral intertrochanteric fractures

作　　者：刘新成[1] 赵天云[1] 王满宜[2] 

机构地区：[1]甘肃省天水市第一人民医院创伤骨科,741000 [2]北京积水潭医院创伤骨科,北京市100035

出　　处：《中华创伤骨科杂志》2004年第9期972-974,共3页Chinese Journal of Orthopaedic Trauma

摘　　要：目的总结老年转子部骨折手术治疗的临床经验,提高老年转子部骨折的手术治疗水平。方法手术治疗老年转子部骨折58例,平均69岁,96%合并内科疾患,进行了围手术期治疗。应用外固定架固定9例,股骨重建钉固定12例,动力髋螺钉固定37例。结果无1例发生骨折愈合前死亡,功能优良率外固定架治疗组88.9%,股骨重建钉治疗组100%,髋动力螺钉治疗组94.6%。结论正确的围手术期处理是老年转子部骨折手术治疗的安全保障;应根据老年患者的健康状况及骨折类型选择固定方式。Objective To summarize our clinical experience in operative treatment of geriatric femoral intertrochanteric fractures. Methods 58 cases of geriatric femoral intertrochanteric fractures were treated surgically. 9 of them were treated with external fixation, 12 with reconstruction interlocking nail, and 37 with dynamic hip screw (DHS). The average age of the patients was 69 years old. 96%of them suffered from complicated medical diseases, and received treatment in perioperative period. Results No death occurred before fractures healed. The excellent and good rates were 88.9%for the external fixation group, 100%for the reconstruction interlocking nail group, and 94.6%for the DHS group. Conclusions The safety of the operative treatment of geriatric femoral intertrochanteric fracture is associated with correct diagnosis of the complications, right evaluation of the physical condition and the operation and anesthesia risk, the operation scheme and the recovery plan. Proper fixation device should be determined on the basis of physical conditions and fracture types of the elder patients.

关 键 词：老年 转子部骨折 骨折固定术 内 

分 类 号：R687.3[医药卫生—骨科学]