采用空心钉微创治疗Evans-Jensen I、Ⅱ型股骨转子间骨折  

The headless compression cannulated screw minimally invasive treatment Evans -Jensen type I and Ⅱ of intertrochanteric fracture

作　　者：刘铮[1] 张淑萍[1] 赵家旭[1] 赵娜[1] 杨婷[1] 王友成[1] 

机构地区：[1]黑龙江省医院骨科,黑龙江省哈尔滨150036

出　　处：《中国基层医药》2015年第11期1646-1648,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨应用无头加压空心钉经皮微创治疗Evans-Jensen I、Ⅱ型股骨转子间骨折的手术方法和临床疗效。方法回顾性分析2l例采用无头加压空心钉经皮微创治疗Evans-Jensen I、Ⅱ型股骨转子间骨折患者的临床资料，其中男7例，女14例；年龄63～86岁，平均71．79岁。按Evans-Jensen标准分型并根据改良Harris标准进行疗效评定。结果随访时间为6～18个月（平均12．15个月），其中2例分别于术后6个月因急性心肌梗死和11个月肺心病死亡，其余19例均获骨性愈合。末次随访时Harris评分67～95分，其中优15例，良3例，尚可1，差1例，优良率90％。结论应用无头加压空心钉经皮微创治疗Evans-Jensen I、Ⅱ型股骨转子间骨折具有微创、固定可靠、骨折愈合率高等优点，允许早期髋关节不负重条件下功能锻炼从而获得理想治疗效果。Objective To discuss surgical method and clinical curative effect of the headless compression cannulated screw percutaneous minimally invasive treatment of Evans - Jensen I, type Ⅱ of intertrochanteric fracture. Methods The clinical data of 21 cases of Jensen Evans and type II femoral intertrochanteric fi＇actures who were treated by headless compression cannulated screw minimally invasive treatment were retrospectively annalyzed. In all patients, male in 6 cases, female in 13 cases ;63 - 86 years old, average 71.79 years. According to the Evans - Jensen norm and curative effect evaluation according to the improved Harris standard. Results Follow - up time was 6 - 18 months （mean 12.15 months） , two of them respectively in the six months after death from acute myocardial infarc- tion （ami） and 11 months of car puhnonale, the rest of 17 cases of bony healing. Harris, the average score （67 - 95points） at the time of the last follow - up,including 14 cases of optimal good in 2 cases, lair 1, poor in 1 case, was 88.89%. Conclusion Headless compression cannulated screw percutaneous minimally invasive treatment of Evans -Jensen I , type Ⅱ intertrochanteric fractures has the advantangtages of minimally invasive, reliable fixation, high rate of fracture healing, allowing early hip not functional exercise load conditions and obtaining ideal therapeutic effect.

关 键 词：股骨转子间骨折 空心钉 内固定 微创 

分 类 号：R687.3[医药卫生—骨科学]