桥式外固定治疗高龄高危股骨粗隆间骨折  

Bridge external fixation for senility and high risk patients with intertrochanteric fracture

作　　者：纪志华[1] 孟志斌[1] 李俊[1] 李洪潮[1] 李德豪[1] 付昆[1] 

机构地区：[1]海南医学院附属医院骨科,海南海口570102

出　　处：《海南医学院学报》2007年第3期235-236,239,共3页Journal of Hainan Medical University

摘　　要：目的：观察经皮穿针骨水泥桥式外固定治疗高龄高危患者股骨粗隆间骨折的疗效。方珐：对36例高龄高危患者股骨粗隆间骨折按Evans分型：1型2例，2型10例，3型12例，4型10例，5型2例，全部采用经皮穿针骨水泥桥式外固定。结果：36例经1～5年，平均2．5年随访，骨折全部愈合。3例针道感染，经治疗愈合，3例轻度髋内翻畸形，无断针及松动移位等并发症，疗效满意。结论：经皮穿针骨水泥桥式外固定治疗股骨粗隆间骨折具有微创、操作简便、固定可靠，能早期起床下床活动、减少并发症，费用少等优势，是目前治疗高龄高危患者股骨粗隆间骨折的好办法。Objective： To observe the curative effect of percutaneous transfixation-pin bone--cementum bridge external fixation in senility and high risk patients with intertrochanteric fracture. Methods： Thirty six senility and high risk patients with intertrochanteric fracture were classified according to Evans classification system： type Ⅰ 2 cases, typeⅡ 10 cases, typeⅢ 12 cases, type Ⅳ 10 cases, typeⅤ 2 cases. All cases were treated with percutaneous transfixation-pin bone-cementum bridge external fixation. Results： Fractures in all 36 patients, follow up 1-5 years, average 2. 5 years, were healed. 3 cases with pinhole infected were cured after treatment, 3 cases with low-grade coxa vara malformation, but no needle broken, loose displacement and other complications. Conclusion. Percutaneous transfixation-pin bone-cementum bridge external fixation, with advantages of slight wound, easy handling, reliable fixation, out- of-bed activity early, less complications, economic, is favourable at present for senility and high risk patients with intertrochanteric fracture.

关 键 词：股骨骨折 外固定器 手术 老年人 

分 类 号：R681.8[医药卫生—骨科学]