动力髋螺钉和股骨近端髓内钉内固定法治疗不稳定性股骨粗隆间骨折的疗效比较  

Efficacy comparison of dynamic hip screws and proximal femoral nails in the treatment of unstable intertrochanteric fracture

作　　者：康亦锋[1] 

机构地区：[1]湖南省人民医院骨科,湖南长沙410005

出　　处：《四川医学》2010年第3期305-306,共2页Sichuan Medical Journal

摘　　要：目的比较动力髋螺钉和股骨近端髓内钉内固定法治疗不稳定性股骨粗隆间骨折的疗效。方法选取我院2008年4月-2009年1月收治的63例不稳定性股骨粗隆间骨折患者分为观察组32例和对照组31例,观察组采用股骨近端髓内钉（PFN）内固定术,对照组采用动力髋部螺钉（DHS）内固定术。结果观察组的髋关节功能优良率为93.8%,明显高于对照组的74.2%;观察组的近期并发症发生率为6.3%,略低于对照组的16.1%。结论股骨近端髓内钉内固定法治疗不稳定性股骨粗隆间骨折疗效满意,近期并发症少,值得临床关注。Objective To compare the effect of dynamic hip screws and proximal femoral nails in the treatment of unstable intertrochanteric fracture.Methods 63 patients hospitalized from April 2008 to January 2009 were chosed to take part in our study,they were divided into the observed group（n=32）and the control group（n=31）,the observed group were treated with proximal femoral nails（PFN） fixation and the control group were treated with dynamic hip screws（DHS） fixation.Results The hip joint function excellent rate of the observed group was 93.8%,it significantly higher than 74.2% for the control group;the short-term complication rate of the observed group was 6.3%,it slightly lower than 16.1% for the control group.Conclusion Proximal femoral nails in the treatment of unstable intertrochanteric fracture has satisfactory curative effect and less short-term complications,it is worth popularizing.

关 键 词：不稳定性股骨粗隆间骨折 动力髋螺钉 股骨近端髓内钉 内固定 

分 类 号：R687.3[医药卫生—骨科学]