防旋髓内钉与动力髋螺钉内固定治疗股骨转子间骨折  

Anti-rotation intramedullary nail and dynamic hip screw internal fixation for treatment of femoral intertrochanteric fractures

作　　者：高延明[1] 张路[1] 

机构地区：[1]大连医科大学附属第二医院,辽宁省大连市116011

出　　处：《中国组织工程研究》2013年第13期2455-2462,共8页Chinese Journal of Tissue Engineering Research

摘　　要：背景:防旋髓内钉与动力髋螺钉已被广泛应用于股骨转子间骨折的置入内固定治疗。目的:评估与比较防旋髓内钉与动力髋螺钉置入内固定治疗股骨转子间骨折的效果。方法:对股骨转子间骨折的临床患者进行随访观察,通过评估患者骨折的愈合情况、并发症发生情况以及关节功能评分综合分析防旋髓内钉与动力髋螺钉内固定治疗股骨转子间骨折的临床效果,并对两种内固定治疗效果进行对比。结果与结论:防旋髓内钉与动力髋螺钉置入内固定治疗股骨转子间骨折均可以获得较好的治疗效果,但是防旋髓内钉置入内固定治疗股骨转子间骨折置入内固定操作时间更短,出血量更少,并发症的发生率更低,骨折愈合时间更短,髋关节功能优良率更高,是股骨转子间骨折首选置入内固定治疗的方法之一。BACKGROUND： The anti-rotation intramedullary nail and dynamic hip screw has been widely used in the fixation treatment of intertrochanteric fracture.OBJECTIVE： To evaluate and compare the effect of anti-rotation intramedullary nail and dynamic hip screw internal fixation for the treatment of femoral intertrochanteric fractures.METHODS： The clinical patients with femoral intertrochanteric fractures were followed-up, and the clinical effect of effect of anti-rotation intramedullary nail and dynamic hip screw internal fixation for the treatment of femoral intertrochanteric fractures was comprehensively analyzed through evaluating the fracture healing, incidence of complications and joint function score.RESULTS AND CONCLUSION： Both anti-rotation intramedullary nail and dynamic hip screw internal fixation could obtain the good effect on the treatment of femoral intertrochanteric fractures, but anti-rotation intramedullary nail internal fixation for the treatment of femoral intertrochanteric fractures had the advantages of less bleeding, lower incidence of complications, shorter fracture healing time and higher excellent and good rate of hip function, which is one of the preferred methods for the treatment of femoral intertrochanteric fractures.

关 键 词：骨关节植入物 骨关节植入物学术探讨 防旋髓内钉 动力髋螺钉 内固定 置入 股骨转子间骨折 骨质疏松 静脉血栓 髋内翻 并发症 骨关节植入物图片文章 

分 类 号：R318[医药卫生—生物医学工程]