DHS内固定治疗股骨转子间骨折和问题分析  

The Effects Analyse of Eighty-eight Cases of Intertrochanteric Fractures Treated with DHS

作　　者：凤晓翔[1] 谢晓东[1] 袁先发[1] 

机构地区：[1]安徽省六安市人民医院骨二科,安徽六安237005

出　　处：《实用骨科杂志》2006年第3期204-205,共2页Journal of Practical Orthopaedics

摘　　要：目的观察髋动力加压钢板(dynamic hip screw,DHS)内固定在股骨粗隆间骨折治疗中的应用及疗效。方法对我院从1999年1月至2004年1月用DHS内固定治疗的176例股骨粗隆间骨折,根据随访结果进行评价。对失败的病例进行分析,并找出其原因。结果176例病例得到随访,平均随访时间15个月。根据黄公怡评定标准患髋关节优良共142例,优良率80.7%。发生各种不同的医源性错误和并发症共34例,其发生率是19.3%。主要的并发症是内固定失败。结论DHS内固定治疗股骨粗隆间骨折具有固定可靠、并发症较少、能早期下床活动的特点,是股骨粗隆间骨折治疗的较理想方法。出现的失误和并发症与术前准备、适应证的选择、DHS的选用、手术技术及术后功能锻炼指导等医源性因素有关。Objective To observe the curative effects of DHS in the treatment of intertrochanteric fractures. Methods 176 cases of intertrochanteric fractures treated with DHS from 1999 to 2004 were analyzed retrospectively. Results All cases were got followed-up, and the average followed-up time was fifteen months. The rate of good and excellent was 80.7% （142 cases）. Different errors and complications occurred in 34 cases （19. 3% ）. The main complication was fixation failure. Conclusion DHS internal fixation is an ideal method for the treatment of intertrochanteric fracture. The advantages include strong fixation, few complication and early exercise. The errors and complications are related to iatrogenic factors such as inadequate preoperative preparation, improper DHS choice, unskillful surgical technique, and improper postoperative functional exercise.

关 键 词：DHS 股骨转子间骨折 内固定 

分 类 号：R683.42[医药卫生—骨科学]