老年股骨粗隆间骨折治疗策略及分析  

The Strategy and Analysis of the Treatments for Femoral Intertrochanteric Fracture in the Elderly People

作　　者：倘艳锋 阮诚 陈久毅[2] 

机构地区：[1]河南省三门峡市中医院骨科,河南三门峡472000 [2]贵阳中医学院骨伤系

出　　处：《中国中医骨伤科杂志》2013年第7期30-32,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:总结老年股骨粗隆间骨折四种治疗方法并进行分析,明确个体化的治疗方法。方法:对2007年1月-2011年4月我院治疗的257例股骨粗隆间骨折患者进行回顾性研究,其中起重机架外固定58例,DHS固定98例,近端解剖板固定48例,PFNA固定53例,分析不同方法治疗的骨折类型和术后髋关节功能恢复优良率及术后并发症。结果:术后随访12～20个月,平均15个月。根据Harris髋关节功能判定标准,优良率87.4%.结论:老年人股骨粗隆间骨折治疗应根据患者全身情况、骨折分型及骨质疏松程度确定,严格选择不同手术方法,常能取得较好的效果。Objective：To summarize and analyze four therapeutic methods on femoral intertrochanteric fracture so as to help determine individual treatment for different fractures. Methods： A total of 257 femoral intertrochanteric fracture patients with the different surgical treatments from January 2007 to April 2011 were chosen . The mean age of the patients was 72 （55-101）. Among the chosen patients, 58 patients were treated by external fixation, 98 patients by DHS, 48 patients by dissection locking proximal femoral bone plate, and 53 patients by PFNA. The type of fractures, the excellent and good rate of the function recovery as well as the postoperative complication of the four methods were analyzed. Results： All the patients were followed up for 12-20 months （15 months in average）. According to Harris hip function criterion, the excellent and good rate of the hip joint was 87.4%. Conclusion：The treatment of the femoral intertrochanteric fracture in the elderly people should be chosen according to the general condition of the body, the type of the fracture and the degree of os teoporosis. Good clinical effects can be achieved if the surgical methods are strictly chosen.

关 键 词：老年 股骨粗隆间骨折 治疗 

分 类 号：R683.42[医药卫生—骨科学]