Richard钉内固定治疗股骨粗隆间骨折  

Effect of Richards DHS for Treatment of Femoral Intertrochanteric Fracture

作　　者：金晨[1] 胡小鹏[1] 诸乾华[1] 吴揭地[1] 

机构地区：[1]上海第二医科大学附属宝钢医院骨科,上海201900

出　　处：《伤残医学杂志》2004年第4期6-8,共3页Medical Journal of Trauma and Disability

摘　　要：　 目的:探讨Richard钉内固定治疗股骨粗隆间骨折的应用。方法:Richard钉内固定治疗股骨粗隆间骨折82例。按Evans分型,Ⅰ型1°13例,Ⅰ型2°38例,Ⅰ型3°22例,Ⅰ型4°9例。其中同时伴股骨颈骨折为4例,伴粗隆下骨折为11例。结果77例得到随访,随访率为93.93.9%,平均随访期13.1(8-22)个月。临床疗效评价按黄公怡评定标准,优良率达97.4％.结论Richard钉主钉的位置正位平行于股骨颈的长轴,在股骨颈中央稍偏内侧,位于股骨距稍上的水平,侧位位于股骨颈的中轴线上,在颈的中央或稍偏后方,长度一般钉尖距股骨头1cm以内。强调准确复位,尤其是小粗隆一侧结构的完整。Objective: To explore the clinical application of Richards DHS for treatment of femoral intertrochanteric fracture. Methods: Eighty-two cases with femoral intertrochanteric fracture were treated by Richards DSH, according to Evans classification , 13 cases were type Ⅰ° 38 cases type Ⅰ 2°22 cases type Ⅰ3°9 cases type Ⅰ 4°Results: 77 patients were followed-up from 8 to 22 months with average of 13.1 months, their effects were evaluated according to Huang Gongyi criteria: the excellent and good rates were 97.4%. Conclusion: In the antero-posterior X-ray film, the position of the leg screw should be paralleled to the long axis of the neck of femur, slightly above the level of the femoral calcar. In the lateral X-ray film, the position of the lag screw should be on the medial axis of the femoral neck. The accurate reduction of lesser trochanter side should be emphasized in treatment of femoral intrertrochanteric fracture.

关 键 词：RICHARD钉 内固定 股骨粗隆间骨折 治疗 

分 类 号：R683.42[医药卫生—骨科学]