不同内固定治疗老年性股骨粗隆间骨折的疗效分析  

Different internal fixation in treating senile intertrochanteric fractures

作　　者：刘万新[1] 刘日新[1] 陈选明[1] 李春晓[1] 

机构地区：[1]广东医学院附属陈星海医院骨科,528415

出　　处：《齐齐哈尔医学院学报》2012年第16期2154-2155,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨老年股骨粗隆间骨折2种内固定方法的优缺点及疗效。方法分析我院2002年11月至今老年股骨粗隆间骨折115例手术治疗情况,采用DHS联合拉力螺钉52例,PFN固定63例。结果平均随防时间13个月,髋关节功能评价采用Harris评价法,采用PFN者优良率高于DHS联合拉力螺钉。结论手术治疗老年股骨粗隆间骨折使患者功能恢复快,并发症少。而使用PFN具有手术时间短,术中出血少,固定牢固等优点,更适合年老体弱患者使用。Objective To investigate the advantages and disadvantages and efficacy of two kinds of intertrochanteric fracture fixation methods. Methods Analyzed 115 cases of intertrochanteric fractures treated by operation from November 2002. 52 cases were treated by DHS combined with lag screw and 63 cases were treated by PFN. Results All the patients were followed up at an average of t3 months. Hip function was evaluated by Harris evaluation method. The excellent and good rate of PFN was higher than the DHS combined with lag screw. Conclusions Surgical treatment of the senile patients with fem- oral intertrochanteric fracture who treated by operation can recover more quickly, with fewer complica- tions. The PFN has shorter operative time, less blood loss, harder fixation and more suitable for the eld- erly and frail patients.

关 键 词：粗隆间骨折 内固定 动力髋螺钉 股骨近端髓内针 

分 类 号：R683.42[医药卫生—骨科学]