股骨粗隆间骨折手术治疗失败原因分析  

Causes of Failure in Surgical Treatment of Intertrochanteric Femoral Fracture

作　　者：胡波[1] 王大平[1] 杨欣建[1] 刘黎军[1] 陈宏贤[1] 刘照华[1] 黄俊峰[1] 

机构地区：[1]广东省深圳市第二人民医院,518035

出　　处：《慢性病学杂志》2010年第7期587-588,共2页Chronic Pathematology Journal

摘　　要：目的探讨不同方法治疗股骨粗隆间骨折失败的原因。方法总结2006-04-2009-06收治的股骨粗隆间骨折患者86例,采用的内固定方式有:DHS32例,DCS8例,γ钉16例,PFN12例,PCCP10例,PFNA8例。对其中18例失败进行分析,探讨相关原因。结果 86例中有18例失败,失败的类型为5型:加压钉切割股骨头颈、钢板螺钉断裂松动、髋内翻畸形、股骨干骨折、感染。手术技术欠缺、手术方式的选择不当、内固定的设计缺陷是失败的主要原因。结论对于股骨粗隆间骨折的治疗,根据骨折的类型选择不同的治疗方法以及熟悉了解每种内固定装置的特点尤为重要。Objective Investigate the failure factors of intertrochanteric femoral fracture with different treatment.Methods 86 cases of intertrochanteric femoral fracture were treated from April 2006 to June 2009.32 cases treated by DHS,8 cases treated by DCS,16 cases treated by γ nail,16 cases treated by PFN,10 cases treated by PCCP,and 8 cases treated by PFNA.Analysis the failure factors of 18 cases.Results Failure factors were divided into 5 types,screw cutting femur head and neck,plate broken and screw loose,hip varus,femur shaft fracture and infection.Operative technique,choice of operative indication and design of instrument are the main failure factors.Conclusion For the treatment of intertrochanteric femoral fractures,according to the type of fracture choose a treatment methods,and understand the characteristics of fixtures is particularly important.

关 键 词：股骨骨折/外科学 治疗失败 

分 类 号：R683.42[医药卫生—骨科学]