股骨粗隆部骨折治疗方法的选择  

Treatment of Fracture in Femoral Trochanter

作　　者：王跃文[1] 包毅敏[1] 刘瑞[1] 邵斌[1] 

机构地区：[1]内蒙古医学院附属医院骨外科,内蒙古呼和浩特010050

出　　处：《内蒙古医学杂志》2006年第12期1143-1145,共3页Inner Mongolia Medical Journal

摘　　要：目的：探讨股骨粗隆部骨折（FTR）治疗方法选择的依据。方法：分析3类常用技术经治FTR57例。结果：随访平均14.3（4～26）个月。3例见于并发症或并存病加重；牵引11例，伤肢功能不满意率为40％（4／10）；骨外固定37例，钉（针）道感染率为78．38％（29／37），其中2例严重感染，功能不满意率28．57％（10／35）；内固定9例。已去内植材料8例，功能满意率为75％（6／8）。结论：FTR多见于老年人，骨质疏松（OP）是其发病的重要基础，正确评估患者骨质量与正确分析并存病，合并伤及可能的并发症应是治疗选择的主要依据．Objective： To study on the evidence in selecting treatment methods on fracture in Femoral Troehanter. Methods： 57 cases of fracture in femoral trochanter were treated with 3 ways of common techniques Their data were analyzed.Results：Followed up 14.3 months （ranged 4 to 26 months）, 3 of 57 cases died from complications.The unrecovered rate of function in injuried limbs was 40% in 11 cases with traction, 28.57% in 37 cases with external fixation, which infected in nail tract in 29 cases including 2 severe infection. The recoveded rate of function was 75 % in 9 cases with internal fixation and 8 cases with removed implants.Conclusion：The fracture in femoral trochanter mostly occured in the aged.Osteoporcais is its basis of pathology.Proper assessment in the quality of bone and complications, combined injuries is the main evidence in selecting treatment methods.

关 键 词：股骨 粗隆部骨折 骨质疏松 并发症 内固定 

分 类 号：R683.42[医药卫生—骨科学]