解剖型髋动力带锁钢板和Gamma钉治疗不稳定型股骨转子间骨折的比较研究  

Comparison of anatomical dynamic hip lock plate and Gamma nail for the treatment of unstable intertrochanteric femoral fractures

作　　者：孙劲[1] 王度 付纳新[1] 李玉海[1] 李坚[1] 刘成[1] 

机构地区：[1]三峡大学第三临床医学院葛洲坝中心医院骨科,宜昌443002 [2]武汉市第三医院骨科,武汉430000

出　　处：《中国矫形外科杂志》2010年第13期1074-1077,共4页Orthopedic Journal of China

摘　　要：[目的]比较解剖型髋动力带锁钢板与Gamma钉治疗不稳定型股骨转子间骨折的早中期临床疗效。[方法]回顾分析2003年1月～2008年8月本院69例不稳定型股骨转子间骨折的完整临床资料,随机分为2组,34例患者采用解剖型髋动力带锁钢板内固定,35例患者采用Gamma钉内固定,分别对手术时间、出血量、术中术后并发症、X线暴露次数、骨折愈合时间和髋关节功能恢复情况进行比较分析。[结果]对不稳定型股骨转子间骨折,与Gamma钉固定组比较,解剖型髋动力带锁钢板固定组术中X线暴露次数和术后并发症较少,两组差异有统计学意义(P<0.05)。手术时间、出血量、术中并发症、骨折愈合时间、术后髋关节Harris评分两组差异无统计学意义。[结论]解剖型髋动力带锁钢板技术具有X线暴露少和并发症少的特点,是治疗不稳定型股骨转子间骨折一种可靠的内固定方法。[ Objective] To compare anatomical dynamic hip lock plate with Gamma nail internal fixation in terms of the early intermediate clinical effect of the unstable intertrochanteric femoral fractures. [ Methods] From January 2003 to August 2008, 69 patients with unstable intertrochanteric femoral fractures were fixed with plate （ n = 34） and Gamma nail （n = 35） . They were randomized into two treatment groups. A retrospective comparison was made between the two differet fixation devices in terms of operation time, blood loss, intraoperative and postoperative complications, frequency of exposure to X - ray, healing time of fracture and functional recovery of hip -joint. [ Results ] Comparing with Gamma nail, cases with anatomical dynamic hip lock plate experienced fewer X - ray during operation and had fewer postoperative complications, and the differences had statistical significance （.P 〈 0. 05 ） . There were no significant differences in terms of operation time, blood loss, intraoperative complications, healing time of fracture and Harris hip score between two groups. [ Conclusion ] Anatomical dynamic hip lock plate has the advantages of fewer X - ray exposure and low complication rate, it is a reliable treatment for the unstable intertrochanteric femoral fractures.

关 键 词：解剖型髋动力带锁钢板 GAMMA钉 股骨转子间骨折 不稳定骨折 

分 类 号：R687.3[医药卫生—骨科学]