微创动力髋螺钉固定治疗股骨转子间骨折30例  

Minimally invasive dynamic hip screw in treatment of intertrochanteric fracture:A report of 30 cases

作　　者：陈铮 周冰[2] 

机构地区：[1]江苏省徐州市爱心医院外科,江苏徐州221003 [2]徐州医学院附属医院骨科,江苏徐州221006

出　　处：《中国现代医生》2012年第33期126-127,共2页China Modern Doctor

摘　　要：目的通过与传统动力髋螺钉固定治疗股骨转子间骨折的疗效进行比较,探讨微创动力髋螺钉固定治疗股骨转子间骨折的优缺点。方法选择2009年1月～2010年1月在我院进行手术治疗的股骨转子间骨折患者60例纳入研究,随机分为研究组和对照组各30例,所有患者均知情同意。研究组采用微创动力髋螺钉内固定治疗,对照组采用传统动力髋螺钉内固定治疗。观察对比两组切口长度、术中失血量、手术时间、骨折愈合时间、Harris评分、并发症、髋关节功能分级等情况。结果研究组术口长度显著短于对照组,术中出血量明显少于对照组,手术时间明显短于对照组,骨折愈合时间明显短于对照组,差异均有统计学意义(P<0.05)。两组患者髋关节功能比较,差异无统计学意义(P>0.05)。结论微创动力髋螺钉固定治疗股骨转子间骨折具有术口小、失血量少、术后骨折愈合快等优点,同时髋关节功能恢复与传统动力髋螺钉固定术相似,值得临床推广使用。Objective To discuss the efficacy of minimally invasive dynamic hip screw in treatment of intertrochanteric fracture compared with conventional dynamic hip screws. Methods Sixty cases with intertrochanteric fracture from Jan 2009 to Jan 2010 were divided into study group and control group randomly. The study group was treated by minimally invasive dynamic hip screw, while the control group was treated by conventional dynamic hip screws. Incision length, perioperative bleeding, operating time, fracture healing time, Harris score,rate of complications and hip function grading were compared between two groups. Results The incision length, operating time and fracture healing time in study were shorter than control group, and peri-operative bleeding was less than control group. There were significant difference between two groups （P 〈 0.05）. But the Harris score, coMplication rates and hip function grading had no significant difference between two groups （P 〉 0.05）. Conclusion Minimally invasive dynamic hip screw in treatment of intertrochanteric fracture can

关 键 词：股骨转子间骨折 微创动力髋螺钉 传统动力髋螺钉 

分 类 号：R687.3[医药卫生—骨科学]