加压滑动鹅头钉治疗老年人股骨转子间骨折  

A clinical analysis of internal fixation in the treatment of femoral intertrochanteric fracture in aged patients

作　　者：路奎元[1] 文良元[1] 徐红兵[1] 王英民[1] 高春文 高新生[1] 蔡恒江[1] 黄公怡[1] 

机构地区：[1]卫生部北京医院骨科

出　　处：《中华老年医学杂志》1998年第3期174-176,共3页Chinese Journal of Geriatrics

摘　　要：目的探讨加压滑动鹅头钉治疗老年人股骨转子间骨折的疗效。方法回顾性分析６５～９５岁６７例老年股骨转子间骨折患者的临床资料。结果６７例中，股骨转子间稳定型骨折１４例，不稳定型５３例；患有不同程度并存症者６４例。均采用硬膜外麻醉，手术过程约９０分钟。术后约１２～１４周完全负重，平均住院２４天。本组无手术死亡，未发生髋内翻。平均随访３年，术后优良率为９７．１％（优２０例，良４５例），仍有疼痛伴行走障碍者占２．９％（２例）。结论加压滑动鹅头钉固定牢固，无髋内翻形成，在患者早期下床康复。Objective To study the clinical effect of Richard's screw on femoral intertrochanteric fracture of aged. Methods The clinical data of 67 patients aged 65～95 years with femoral intertrochanteric fracture and different associated diseases were analyzed and compared with the results of other screws. Results There were 14 cases of stable type and 53 cases of unstable type in the 67 cases of intertrochanteric fracture. Sixty four cases had different associated diseases. Extra epidural anesthesia was applied in all cases. Operation lasted about 90 minutes. Average duration of hospitalization 24 days. No death and no coxa vara occurred. Patients could endure full load after about 12 14 weeks postoperatively. Three year follow up showed excellent and good results in 97 1%, and poor result in 2 9%. Conclusions The Richard's screw was stronger than the Mclaughlin's screw in fixation of femoral intertrochanteric fracture. It facilitates early ambulation and rehabilitation as well as less nursing care.

关 键 词：股骨颈骨折 股骨骨折 内固定 鹅头钉 

分 类 号：R683.420.5[医药卫生—骨科学]