锁定加压钢板与动力髋螺钉治疗股骨粗隆间骨折临床疗效比较  

A Comparative Study of Locking Compresssion Plate and Dynamic Hip Screw in Treatment of Femoral Intertrochanteric Fratures

作　　者：徐少宏[1] 王伟林 罗悦文[1] 赖志军[1] 万文国 曾文辉 

机构地区：[1]广东省惠州市中心人民医院整形创伤外科,广东惠州516001 [2]惠州市龙门县中医院,广东惠州516000

出　　处：《中国医药指南》2011年第15期34-36,共3页Guide of China Medicine

摘　　要：目的比较锁定加压钢板(LCP)与动力髋螺钉(DHS)治疗股骨粗隆间骨折的临床疗效。方法回顾性分析2008年11月至2010年2月收治的46例老年股骨粗隆间骨折的患者临床资料。结果两组患者的骨折愈合时间无显著性差异,P>0.05。LCP组的Harris髋关节功能评分优20例,良4例,总优良率为96.1%(25/26),显著高于DHS组85.0%(17/20),P<0.05。且LCP组在出血量、手术时间、下肢缩短及并发症发生率方面显著优于DHS组,P<0.05。结论锁定加压钢板治疗股骨粗隆间骨折更符合生物力学,且出血量少,手术时间短,固定牢靠,并发症少,是治疗粗隆间骨折的较好方法。Objective To compare the locking compression plate（LCP） and the dynamic hip screw（DHS） Treatment of intertrochanteric fractures of the clinical efficacy.Methods A retrospective analysis of our hospital from November 2008 to February 2010,46 elderly patients treated with intertrochanteric fracture of the clinical data.Results The patients of the fracture healing time was no significant difference,P0.05.LCP Group Harris hip function score excellent in 20 cases,good in 4 cases,the total fine was 96.1%（25/26）,significantly higher than the DHS group 85.0%（17/20）,P0.05.LCP group and blood loss,operative time,complication rate and shorter lower limbs were significantly better than the DHS group,P0.05.Conclusion The locking compression plate fixation of intertrochanteric fractures of more bio-mechanics,and less bleeding,shorter operative time,stable fixation,fewer complications,is the treatment of intertrochanteric fracture of a better way.

关 键 词：锁定加压钢板 动力髋螺钉 股骨粗隆间骨折 内固定术 疗效 

分 类 号：R683.42[医药卫生—骨科学]