动力髋螺钉治疗股骨粗隆间骨折的疗效.pdfVIP

医学临床研究 2008年2月 第25卷 第2期 J Clin Re ，Feb．2Q ， 5 No · 论著 · 动力髋螺钉治疗股骨粗隆间骨折的疗效 洪汉标 李冠佳 邱俏峰 (广东省汕头市潮阳大峰医院骨科，广东 汕头 515154) [摘要]【目的】探讨动力髋螺钉(DHS)治疗股骨粗隆间骨折的疗效和可行性，以提高患者的生活质量。 【方法】总结2001年4月至2007年4月收治的85例DHS进行内固定治疗股骨粗隆间骨折患者的临床资料， 了解患者的性别、年龄、骨折类型及治疗等情况，【结果985例患者术后均一期愈合，全部获得骨性愈合，82例 患者能下地负重行走，未出现螺钉及钢板断裂现象，1例患者术后 3个月加压螺钉退出致髋内翻，优良率 92．94 (79／85)。【结论】股骨粗隆间骨折行DHS进行内固定可使患者卧床时间缩短、使其早日下地行走、减 少并发症。 [关键词] 股骨颈骨折／治疗； 骨螺丝 Efficacy of Dynamic Hip Screw for the Treatment of Intertr0chanteric Fracture HONG Han—biao， LI Guan—jia， QIU Qiao—feng(Department of Orthopedics，Dafeng Hospital，C~aoyang District，Shantou，Guangdong 515154，China) [-Abstract][Objective]To explore the efficacy and feasibility of dynamic hip screw(DHS)for the treatment of intertrochanteric fractures，and to raise the quantity of life of patients．[Methods]The clinical data of 85 patients with intertrochanteric fractures from April 2001 to April 2007 were summarized，and some basic messages of patients including sex，age，types of fractures and others were collected．All patients were treated surgically with DHS．[Re— suits]All patients got primary healing as well as bone healing after operation．Eight~two patients were able to walk on the ground with weight bearing and no loosening or breakage of the internal fixators occurred．Only one patient re— mained COXa vara because of the exit of DHS 3 months after operation． The excellent and good rate was 90．6 ． [Conclusionl The treatment of intertrochanteric fracture with a internal fixation of DHS is beneficial tO reduce bed rest time，go for waking in the early stage and decrease complications． [-Key words] femoral neck fractures／TH： bone screws [中图分类号] R683．42 [文献标识码] A [文章编号] 1671—7171(2008)02—0271—03 股骨粗隆间骨折是老年人常见损伤，患者平均 型12例。受伤至手术时间：伤后3 h至 1周。本组 年龄较股骨颈骨折患者高5～6岁 ]。由于粗隆间 患者均采用DHS内固定。 血运丰富，骨折后极少不愈合，以往多采用保守治