DHS、PFN及人工髋关节置换治疗老年不稳定型粗隆间骨折疗效观察.pdfVIP

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DHS、PFN及人工髋关节置换治疗老年不稳定型粗隆间骨折疗效观察.pdf

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患肢髋关节功能较快。结论：经本研究，我们认为采用DHS或PFN内固定及人工关节置换治疗高龄股骨粗隆间骨折，都能取得较满意的疗效。对高龄（75 岁以上）预期寿命短，合并症多，骨折复杂、复位困难。需尽早恢复离床活动的患者选择关节置换治疗，较内固定方式效果更好。所以临床选择何种手术方式需综合考量。关键词老年股骨粗隆间骨折；骨质疏松；不稳定型骨折；内固定；关节置换 DHS 、PFN and hip replacement treatment of elderly Unstable intertrochanteric fractures observed Specialty:Orthopedics of TCM Tutor:Professor Xie jin Author: Zhou wanshan Abstract Objective: To analyze the clinical treatment information and treatment outcomes of surgery within a fixed (DHS dynamic hip screw or PFN proximal femoral nail) with the use of artificial joint replacement in the treatment of intertrochanteric fractures to study the treatment of the two treatments intertrochanteric fracture of the advantages and disadvantages, the choice of surgical methods for the clinical treatment of intertrochanteric fracture basis. Methods: The diagnosis of Orthopaedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine from March 2009 to September 2011 were admitted for 94 elderly patients with intertrochanteric fractures, 48 cases DHS or PFN fixation for the treatment of 46 the clinical efficacy of routine artificial hip replacement, internal fixation group and joint replacement group conducted a retrospective comparative study. Results: The average days of hospitalization in both groups, the mean preoperative hospital days, the incision length difference by t test, P 0.05, not statistically significant The mean operative time by t test, P 0.05, significantly between the two groups, intraoperative blood loss, blood transfusion, postoperative drainage due to data not normally distributed, the row rank sum test, P 0.05, not statistically significant. The two get out of bed time: