LCP和DhS治疗老年不稳定型股骨粗隆间骨折的疗效分析  

Clinical analysis of LCP and DhS on unstable intertrochanteric fracture in elderly osteoporosis patients

作　　者：王俊丰[1] 闻久全[1] 朱明义[1] 蒋阅[1] 

机构地区：[1]辽宁省人民医院骨一科,辽宁沈阳110015

出　　处：《中国伤残医学》2014年第4期1-2,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析比较股骨近端解剖型锁定加压钢板(LCP)和动力髋螺钉(DhS)治疗老年不稳定型股骨粗隆间骨折的疗效,探讨2种方法的优缺点。方法:对121例老年股骨粗隆间骨折(EvansⅠ3、Ⅰ4 andⅡ),分别采用LCP和DhS进行治疗,从手术时间、术中出血量、骨折愈合时间、术后并发症、术后髋关节功能(harris评分)等方面进行分析比较。结果:LCP组与DhS组在手术时间、术中出血量方面无统计学意义(P>0.05);在内固定并发症、髋关节功能方面相比差异有统计学意义(P<0.05)。结论:LCP较DhS在治疗老年不稳定型股骨粗隆间骨折有明显优势。Objective：To discuss a reasonable treatment for unstable femoral intertrochanteric fracture in elderly osteoporosis patients by comparison of effects between DhS and LCP fixation .Methods：One hundred and twenty -one elder patients with unstable femoral inter-trochanteric fracture （ EvansⅠ3 、Ⅰ4 andⅡ） were followed up .They were treated with the two kinds of operations respectively：dynamic hip screw（DhS） and Locking Compression Plate （LCP）.The data of each group were collected for statistical analysis on the following as-pects：operative time,blood loss,clinical healing time of fractures,posteroperative complications and functional outcome .Results：No differ-ences of the operative time and blood loss between group LCP and DhS were statistically significant .There were significant differences in function of hip joint and the total rate of complications were found .Conclusion：The LCP might have better clinic curative effects in treat-ment of unstable femoral intertrochanteric fracture in elderly patients than DhS .

关 键 词：不稳定型股骨粗隆间骨折 动力髋螺钉(DhS) 锁定加压钢板(LCP) 内固定 

分 类 号：R683.4[医药卫生—骨科学]