股骨转子部骨折治疗方法的选择  

ALTERNATIVE TREATMENTS FOR FRACTURES OF THE TROCHANTERIC REGION IN FEMUR

作　　者：王跃文[1] 邵斌[1] 

机构地区：[1]内蒙古医学院附属医院骨科,内蒙古呼和浩特010050

出　　处：《内蒙古医学院学报》2007年第1期26-28,共3页Acta Academiae Medicinae Neimongol

摘　　要：目的：探讨股骨转子部骨折（FaR）治疗方法选择的依据。方法：分析3类常用技术经治FTR 57例。结果：随访平均14．3（4-26）mo。3例死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）。佶论：FTR多见于老年人。骨质疏松是其发病的重要基础，正确评估病人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 explore alternative treatments for fractures of the trochanterie region （FIR） in the femur. Methods：Treatments for 57 patients suffering from FIR with 3 types of common techniques were analysed. Results：The follow - up visits of all 57 cases ranged from 4 to 26 months with the mean of 14. 3 months. 3 patients died from complications and/or complicating diseases at the same time. 11 cases were treated with the traction and dissatisfactory rate of injured limbs＇ function was 40% （4/10）. 37 cases were operated on with the external fixation, with the infection rate in pin roads being 78. 38% （29/37） among them, and satisfaction rate of function was 28. 57% （ 10/35 ）. 9 cases were operated on with internal fixation, the implants were removed in 8 cases and satisfacion rate of the function was 75% （6/8）. Conclusion：FTR in the femur was seen more in the aged. Osteoporosis is an important basis of the fracture. The major bases should be thought of as correctly evaluating bone quality, analyzing the diseases and the injuries at same time, and possible complications in the patients, for alternative treatments.

关 键 词：股骨 转子部骨折 骨质疏松 并发症 内固定 

分 类 号：R683.42[医药卫生—骨科学]