改良Gamma钉和Ender钉治疗股骨转子间骨折的疗效比较  

AcomparisonofthemodifiedGammanailandtheEndernailfortreatmentofintertrochantericfrac-tures

作　　者：梁伟国[1] 钟志龙[1] 潘君棣 

机构地区：[1]广州市红十字会医院骨科

出　　处：《中华外科杂志》1996年第7期440-442,共3页Chinese Journal of Surgery

摘　　要：作者采用改良Ｇａｍｍａ钉和Ｅｎｄｅｒ钉两种方法治疗股骨转子间骨折１０２例。Ｇａｍｍａ钉组６０例，Ｅｎｄｅｒ钉组４２例。术后随诊１．５～４年，将两组手术资料和术后资料进行统计学分析，结果显示改良Ｇａｍｍａ钉组的临床疗效明显优于Ｅｎｄｅｒ钉组；其手术合并症少于Ｅｎｄｅｒ钉；改良Ｇａｍｍａ钉的手术创伤比Ｅｎｄｅｒ大。经改良的Ｇａｍｍａ钉手术是一种值得推广的治疗股骨转子间骨折的新方法，但是，对于超高龄合并有重要脏器功能部分不全者，不宜选用改良Ｇａｍｍａ钉，而Ｅｎｄｅｒ钉是可供选择的治疗方法。WemadeacomparisonbetweenthemodifiedGammanailingandtheEndernailinginthetreatmentof102patientswithintertrochantericfracture.SixtypatientsweretreatedwiththemodifiedGammanailingandforty-twopatientswiththeEndermethod.Thepreoperativeconditionsofthepa-tientsinthetwogroupsweresimilarasshowedbystatisticalanalysis.MoreintraoperativebleedingwasrecordedinthemodifiedGammanailgroup.However,therewereaearlierfulweight-bearing,abeterhipfunctionandalowerrateofoperativecomplicationinthepatientstreatedwiththemodifiedGammanailing.WeconcludethatwiththemodifiedtechniqueandthemodifiedfemoralcomponenttheGammanailisadvancedinthetreatmentofintertrochantericfracture.However,itisdangertoapplyinelderlypatientsaccompaniedwithcertainvitalproblems.ForthesepatientstheEndernailmaybeconsidered.

关 键 词：股骨骨折 骨折固定术 GAMMA钉 ENDER钉 

分 类 号：R683.420.5[医药卫生—骨科学]