老年股骨粗隆间骨折211例内固定方法选择  

作　　者：石玉刚[1] 郭政[1] 周生瑞[1] 

机构地区：[1]邳州市人民医院骨二科,江苏邳州221300

出　　处：《湖南中医药大学学报》2016年第A02期690-690,共1页Journal of Hunan University of Chinese Medicine

摘　　要：目的分析选择4种不同的内固定方法治疗股骨粗隆间骨折的疗效.方法对211例股骨粗隆间骨折,分别采用DHS内固定79例、Gamma钉内固定63例、LCP内固定42例、PFNA内固定27例.其中非手术治疗112例,手术治疗306例.结果211例均活动随访,随访时间6～24个月,平均19.8个月.PFNA组在手术时间、术中出血量、术后负重时间、骨折愈合时间、并发症和髋关节功能Harris评分均由于其他各组（P〈0.05）.结论手术内固定治疗老年股骨粗隆间骨折,PFNA是为首选的治疗方法.Objective To analyze the effect of 4 different internal fixation methods for the treatment of intertrochanteric fractures of femur. Methods 211 cases of femoral intertrochanteric fracture, 79 cases of DHS internal fixation, 63 cases of Gamma internal fixation, 42 cases of LCP internal fixation, 27 cases of PFNA internal fixation.112 cases were treated with non operative treatment, 306 cases were treated with operation. Results 211 cases were followed up for 6 to 24 months, with an average of 19.8 months. In the PFNA group, the operation time, bleeding volume, postoperative load time, fracture healing time, complications and hip function Harris score were all due to other groups （P 〈 0.05）. Conclusion surgical fixation in the treatment of senile intertrochanteric fracture, PFNA is the preferred treatment.

关 键 词：老年股骨粗隆间骨折 DHS GAMMA LCP PFNA 内固定 

分 类 号：R2[医药卫生—中医学]