三种内固定方法治疗老年人骨质疏松性股骨粗隆间骨折分析  

Analysis of the three internal fixation methods for the hip osteoporotic femoral intertrochanteric fracture

作　　者：洪全明 刘军[1] 黄际河[1] 沈飞[1] 马骏[1] 李嘉荣[1] 翟延荣[1] 

机构地区：[1]江苏省苏州市吴中人民医院骨科

出　　处：《骨科》2010年第2期89-90,共2页ORTHOPAEDICS

摘　　要：目的分析三种内固定方法治疗老年人骨质疏松性股骨粗隆间骨折的优缺点。方法我院自2000年10月～2009年10月收治老年人骨质疏松性股骨粗隆间骨折81例,根据不同类型采用不同的治方法 ,行加压中空螺钉(CLS)16例、动力髋螺钉(DHS)58例、动力髁螺钉(DCS)7例。比较各组手术时间、出血量、骨折愈合时间、以及并发症发生情况。结果术后随访1～7年,平均32个月。加压中空螺钉组手术创伤小、手术时间及术中出血量、术后并发症均明显少于其他手术组(P<0.05),其余二组差异无统计学意义。结论三种手术方法各有优缺点,术前仔细分析骨折类型,合理选用内固定,积极治疗骨质疏松症是取得满意效果的必要条件。Objective To analyze the advantages and disadvantages of therapy for the hip osteoporotic femoral intertrochanteric fracture in elderly patients. Methods Between October 2000 and October 2009, a total of 81 elderly patients with osteoporotic femoral intertrochanteric fracture were divided into three groups. One group with 16 patients was treated with CLS; the second group with 58 patients was treated with DHS; the third group with 7 patients was treated using DCS. The operative time, blood loss, fracture healing time, and operation complications were compared among there groups. Results After operation, the patients were followed up from 1 year to 7 years （mean 32 months）. There were significantly less injury, short operative time, less blood loss, and less post-operative complications in CLS group than in DHS and DCS groups （P〈0.05）. Nevertheless, there was no significant difference between DHS and DCS groups. Conclusion Three operative methods have their own advantages and disadvantages. The types of fractures are analyzed carefully, the internal fixation is chosen and the osteoporesis is treated actively before operations, which are essential to obtain the satisfactory effects.

关 键 词：股骨骨折 骨折固定术 老年人 

分 类 号：R687.3[医药卫生—骨科学]