牵引闭合复位结合动力髋内固定治疗股骨粗隆间骨折  

Closed traction reduction and dynamic hip screw for treatment of femoral intertrochanteric fracture

作　　者：马万里[1] 陈增海[1] 高春正[1] 马胜忠[1] 陈鹏[1] 

机构地区：[1]山东大学第二医院骨科,山东济南250033

出　　处：《海南医学院学报》2008年第4期412-413,417,共3页Journal of Hainan Medical University

摘　　要：目的：探讨牵引闭合复位结合动力髋（DHS）内固定治疗股骨粗隆间骨折的临床效果。方法：本组32例患者均在C臂X线机透视下利用牵引床进行闭合复位并且行切开DHS内固定，常规术后抗炎治疗及护理。术后早期功能锻炼。结果：本组共治32例，随访13～24个月，平均19个月，所有患者均获得临床骨性愈合，髋内翻畸形1例，无断钉等髋关节严重活动障碍，按Harris疗效评定标准，术后髋关节功能评价优良率93．7％。结论：牵引闭合复位结合DHS内固定治疗股骨粗隆间骨折疗效可靠，是一种有效的治疗方法。Objective： To observe the therapeutic effect of closed traction reduction and dynamic hip screw （DHS） for treatment of femoral intertrochanteric fracture. Methods： Thirty-two patients were treated by closed traction reduction and open internal fixation by DHS in traction bed under C-arm X-ray machine guidance. After operation, routine anti-inflammatory treatment, nursing, and early functional exercise were employed. Results： A 13- to 24-month follow-up （average： 19 months） of the 32 patients revealed satisfactory clinical bone union in all patients, only 1 case of coax vara deformity, and no screw breakage and joint dysfunction. According to Harris criterion, the postoperative fineness rate of the functional assessment reached as high as 93.7%. Conclusion： Closed traction reduction and DHS is an effective method for management of femoral intertrochanteric fracture.

关 键 词：股骨 内固定器 骨折固定术 内 

分 类 号：R683.42[医药卫生—骨科学]