锁定加压钢板及动力髋螺钉治疗股骨粗隆间骨折临床疗效比较.docVIP

锁定加压钢板及动力髋螺钉治疗股骨粗隆间骨折临床疗效比较【摘要】目的：比较锁定加压钢板(LCP)与动力髋螺钉(DHS)治疗股骨粗隆间骨折的临床疗效。方法：将我院及龙门县中医院于2008年11月至2010年2月收治的46例老年股骨粗隆间骨折的患者随机分为LCP组26例和DHS组20例，分别采用锁定加压钢板和动力髋螺钉治疗，随访6个月~2年。比较两组患者的出血量、手术时间、髋关节功能评分、骨折愈合时间、下肢缩短率、并发症发生率等。结果： 两组患者的骨折愈合时间无显著性差异，P0.05。LCP组的Harris髋关节功能评分优20例，良4例，总优良率为92.3%(24/26)，显著高于DHS组85.0%(17/20)，P0.05.The Harris Hip Jiont Fanction Scale was used to assess the jiont function. 20 cases were graded as good and 4 cases were graded as excerllent in LCP group. There were significant difference in the overall excellent and good rate between two groups(the LCP group reached 92.3%(24/26),the