股骨转子部骨折手术治疗106例疗效分析  

Operative treatment of intertrochanteric fracture of femur in 106 cases

作　　者：彭海洲[1] 刘明礼[1] 蔡嘉欣[1] 罗睿[1] 

机构地区：[1]清华大学酒仙桥医院骨科,北京市100016

出　　处：《中华创伤骨科杂志》2004年第2期132-135,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的分析使用不同的手术方法治疗股骨转子部骨折的疗效。方法手术治疗106例,平均年龄72岁,其中行外固定支架治疗39例,三根斯氏针3例,麦氏鹅头钉13例,动力髋螺钉(DHS)45例,近端股骨交锁钉(PFN)6例。结果DHS及PFN疗效最好,优良率为100%,外固定支架治疗优良率为87.2%;三根斯氏针治疗优良率为33.3%;麦氏鹅头钉治疗优良率为69.2%。结论股骨转子部骨折能耐受手术者推荐使用DHS或PFN,否则应尽可能用外固定支架固定。Objective To analyze the therapeutic effects of different meth ods in operative treatment of intertrochanteric fractures of femur. Methods 106 cases were treated with operation and their average age was 72 year old. 39 case s of them were treated with external fixation, 3 cases with steeliness, 13 cases with Metanghin nail, 45 cases with DHS, and 6 cases with proximal femoral nail( PFN). Results The therapeutic effects of the dynamic hip screw(DHS) and PFN trea tment were the best among these methods. The excellent and good rates of DHS, PF N, external fixation, steeliness, and Metanghin were 100%, 87.2%, 33.3%, 69. 2%, respectively. Conclusion For the intertrochanteric fracture of lemur,DHS or PFN is recommendable to the patients who can tolerate an operation, whereas uni lateral external fixation is preferable to those who cannot or will not receive an operation.

关 键 词：股骨转子部骨折 手术治疗 外固定支架 内固定 麦氏鹅头钉 

分 类 号：R687.3[医药卫生—骨科学]