经皮加压钢板系统治疗老年转子间骨折：与动力髋螺钉系统的比较(英文)  

Treatment for intertrochanteric fractures in elderly patients Percutaneous compression plating system versus dynamic hip screw system

作　　者：景成伟[1,2] 倪东馗[1] 郑道明[1] 王沛[2] 朱福良[1] 庞小建[1] 

机构地区：[1]天津医科大学第二医院骨科,天津市300211 [2]天津医科大学总医院骨科,天津市300052

出　　处：《中国组织工程研究与临床康复》2011年第35期6643-6646,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景:转子间骨折老年患者多合并骨质疏松和其他慢性疾病,保守治疗极易导致卧床并发症。目的:评价经皮加压钢板系统内固定治疗老年转子间骨折的疗效。方法:总结 2007-06/2009-06收治经皮加压钢板系统植入治疗的转子间骨折老年患者32例和2007/2011采用动力髋螺钉系统治疗股骨转子间骨折患者40例的临床资料,比较2种方法手术操作时间、术中出血量及Harris评价术后疗效。结果与结论:经皮加压钢板系统治疗手术操作时间、术中出血量明显少于动力髋螺钉系统治疗,而2组Harris 评分优良率接近。说明经皮加压钢板内固定也可有效治疗老年人转子间骨折,且手术操作简单,有利于减少手术并发症发生。BACKGROUND：Expectant treatment for intertrochanteric fractures in elderly patients with osteoporosis and other chronic diseases can easily lead to complications of lying in bed.OBJECTIVE：To evaluate the results of percutaneous compression plating system（PCCP） for intertrochanteric fractures in elderly patients.METHODS：Thirty-two cases of elderly intertrochanteric fractures treated with PCCP admitted from June 2007 to June 2009 and 40 cases of elderly intertrochanteric fractures treated with dynamic hip screw system（DHS） were reviewed.The operative bleeding,operative time and curative effect were compared.RESULTS AND CONCLUSION：The operative bleeding and operative time in the patients receiving PCCP were significantly lower than those in the patients receiving DHS.There was not statistical significance between the curative effects about the two methods.PCCP applied in elderly patients with intertrochanteric fracture can get satisfactory effects,and the system is operated simply with minimally invasive surgery,which is beneficial to reduce surgical complications.

关 键 词：经皮加压钢板系统 转子间骨折 微创 钢板 内固定 老年 动力髋螺钉系统 

分 类 号：R318[医药卫生—生物医学工程]