动力髋螺钉结合CPM治疗高龄股骨粗隆间骨折疗效观察  

Clinical effect of dynamic hip screw combined with CPM on intertrochanteric fractures in old patients

作　　者：卢则陈[1] 高恩建[1] 

机构地区：[1]江苏省淮安市第二人民医院骨科,江苏淮安市223002

出　　处：《中国康复理论与实践》2005年第12期1026-1027,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨动力髋螺钉(DHS)结合持续性被动运动(CPM)治疗高龄股骨粗隆间骨折的疗效。方法对36例高龄股骨粗隆间骨折行DHS内固定,术后3d行股四头肌等长锻炼,结合CPM机行下肢各关节功能锻炼。结果术后随访平均14个月,疗效优26例、良9例、差1例,优良率97.2%。所有病例骨折均愈合,无内固定物松动、脱位。1例EvansⅢ型发生轻度髋内翻。结论采用DHS结合下肢CPM是一种效果较好的治疗高龄老年人粗隆间骨折的方法。Objective To investigate the clinical effect of dynamic hip screw （DHS） combined with continuous passive motion （CPM） on intertrochanteric fractures in old patients. Methods Thirty-six old patients with intertrochanteric fractures were treated with DHS internal fixation and began to exercise isometric contraction of quadriceps femoris and to move the big joints of affected limb with CPM machine on the 3rd day after operation. Results All the patients were averagely followed-up for 14 months. According to the effective standard, 26 cases were excellent, 9 cases good and 1 case poor with a 97. 2 percentage of fineness. All fractures healed well with no loosening and dislocation of internal fixation. Only one case with type of Evans Ⅲ remained less hip inversion. Conclusion DHS is a good method to treat intertrochanteric fractures of old patients under good preoperative disposal.

关 键 词：股骨粗隆间骨折 动力髋螺钉 内固定 持续性被动运动 

分 类 号：R683.42[医药卫生—骨科学]