股骨近端髓内钉、动力髋螺钉、γ钉治疗股骨转子间粉碎骨折疗效比较  

Proximal femoral nail,dynamic hip screws,γ-nail in the treatment of comminuted intertrachanteric fracture of femur

作　　者：朱孟勇 滕晓[1] 

机构地区：[1]台州市中心医院骨科,浙江台州318000

出　　处：《临床骨科杂志》2008年第1期55-57,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨股骨近端髓内钉(PFN)、动力髋螺钉(DHS)、γ钉治疗股骨转子间粉碎骨折的治疗效果。方法将股骨转子间粉碎骨折患者180例,随机分成PFN组、DHS组、γ钉组(每组60例)进行治疗。结果优良率:DHS组为88.33%,γ钉组为91.67%,PFN组为96.67%;PFN组优于DHS组和γ钉组(P<0.05)。结论PFN内固定治疗股骨转子间粉碎骨折操作简单、疗效可靠,是比较理想的内固定方法。Objective To compare the effect of proximal femoral nail （ PFN ）, dynamic hip screws （ DHS）, γ-nail in the treatment of femoral intertrochanteric fractures. Methods 180 patients with intertrochanteric fractures were randomized into 3 groups, and treated with PFN, DHS, γ-nail. Results The excellent and good rate was 88. 33% with DHS, 91.67% with γ-nail and 96. 67% with PFN, which showed PFN was significantly superior to DHS and γ-nail （P 〈0.05）. Conclusions PFN internal fixation for intertrochanteric fracture is simple and reliable. It is an ideal internal fixation.

关 键 词：股骨近端髓内钉 动力髋螺钉 Γ钉 骨折固定术 内 股骨骨折 骨折 粉碎性 

分 类 号：R683.42[医药卫生—骨科学] R687.32[医药卫生—外科学]