股骨转子间骨折内固定器械研究进展  

Research progress on internal fixation devices for intertrochanteric fracture of the femur

作　　者：冯俊超 高明暄 辛晓明 张帆[1] 骆文远[2] Feng Junchao;Gao Mingxuan;Xin Xiaoming;Zhang Fan;Luo Wenyuan(The First Clinical Medical College of Gansu University of Chinese Medicine(Gansu Provincial Hospital),Lanzhou Gansu,730000;Cadre Ward of Orthopedic Department,Gansu Provincial Hospital,Lanzhou Gansu,730000,China)

机构地区：[1]甘肃中医药大学第一临床医学院(甘肃省人民医院),甘肃兰州730000 [2]甘肃省人民医院骨科干部病区,甘肃兰州730000

出　　处：《生物骨科材料与临床研究》2023年第5期69-74,共6页Orthopaedic Biomechanics Materials and Clinical Study

基　　金：甘肃省自然科学基金资助项目(20JR10RA365)。

摘　　要：股骨转子间骨折是常见的骨折,亦是当今创伤骨科的研究热点。随着对股骨转子间骨折认识的深入及手术固定材料技术的发展,目前手术内固定治疗已成为首选治疗方式,现行的手术内固定治疗方式主要有髓外固定和髓内固定两种,二者各有优势,但也存在不足。髓内固定因微创和生物力学的优势逐渐成为主流内固定治疗方式。本文就股骨转子间骨折内固定器械的设计、优缺点、临床应用及其发展等方面进行综述,以期为临床内固定选择提供参考。A common fracture and a current hot topic in traumatic orthopedics research is the intertrochanteric fracture of the femur.Increased understanding of femoral intertrochanteric fractures and advances in surgical fixation material technology have made surgical internal fixation the treatment of choice.Extramedullary fixation and intramedullary fixation are the two main surgical internal fixation techniques used today.Each technique has its advantages and disadvantages.Due to the advantages of being biomechanical and least invasive,intramedullary fixation has gradually replaced other internal fixation treatments as the mainstream of care.To serve as a guide for clinical selection of internal fixation,this review analyzes the design,advantages and disadvantages,clinical applications,and evolution of internal fixation devices for intertrochanteric fractures of the femur.

关 键 词：股骨转子间骨折 髓外固定 髓内固定 内固定器械 

分 类 号：R683.42[医药卫生—骨科学]