高龄患者股骨粗隆间骨折外固定器术后的康复治疗  

Rehabilitation of intertrochanteric fracture of femur in the elderly treated with external fixator

作　　者：李文锋[1] 侯树勋[1] 王庆雷[1] 

机构地区：[1]解放军总医院304临床部骨科,北京市海淀区阜成路51号100037

出　　处：《中国康复医学杂志》2006年第7期614-616,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的探讨高龄患者粗隆间骨折外固定器术后早期康复和并发症防治。方法应用外固定器治疗高龄患者粗隆间骨折82例,术后进行早期康复,加强针道护理,防治并发症。结果随访6—36个月,骨愈合时间为3—6.5个月,平均4.5个月。无髋内翻畸形、肢体短缩和骨不连发生。术后髋关节功能恢复良好,Harris髋关节功能评分为67—94分,平均85.7分。结论重视围术期处理和早期康复治疗可明显减少并发症,有效控制各种并发症,外固定器治疗高龄患者粗隆间骨折安全且疗效肯定。Objective： To investigate the rehabilitation measures of intertrochanteric fracture of femur in the elderly treated with external fixation. Method：82 cases with intertrochanteric fracture of femur in the elderly were treated with external fixator. The early rehabilitation and pin site care were performed to prevent complications. Result：The follow-up time was 6 months to 36 months. All the cases came up to clinical healing standards within 3- 6.5months,average 4.5 months. According to Harris＇s standard,the average score was 85.7. The coxa vara and crispation were not found. Conclusion： It is satisfactory that intertrochanteric fracture of femur in the elderly is treated with external fixation. The early effective rehabilitation measures is significant to avoid the complications.

关 键 词：股骨粗隆间骨折 外固定器 康复 

分 类 号：R49[医药卫生—康复医学] R687.3[医药卫生—临床医学]