Gamma钉结合早期功能锻炼治疗老年粗隆间及粗隆下骨折.docVIP

Gamma钉结合早期功能锻炼治疗老年粗隆间及粗隆下骨折 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：Gamma钉结合早期功能锻炼治疗老年粗隆间及粗隆下骨折 1 1 资料与方法 3 2 结果 4 文2：GAMMA钉治疗老年股骨粗隆间骨折的手术分析 7 1 临床资料 8 2 结果 9 3 讨论 10 参考文摘引言： 12 原创性声明（模板） 13 文章致谢（模板） 13 正文 Gamma钉结合早期功能锻炼治疗老年粗隆间及粗隆下骨折 文1：Gamma钉结合早期功能锻炼治疗老年粗隆间及粗隆下骨折 ［Abstract］ Objective To investigate the therapeutic effects of internal fixation of Gamma nail for interchanteric and subtrochanteric fracture of femur combined with early Altogether 18 cases of interchanteric fracture and 7 cases of subtrochanteric fracture,10 male and 15 female,16 left and 6 right,with an average age yea ranged from 41 to 79 yea，were treated with Gamma nail and early rehabilitation from October,1997 to September, to the classification of Eva,all cases of interchanteric fracture were divided into various types: type Ⅰ were 6 cases,type Ⅱ 9 cases,type Ⅲ 2 cases,type Ⅳ 1 cases of subtrochanteric fracture were divided into various types according to the classification of Sheimer: type Ⅰ were 2 cases,type Ⅱ 2 cases,type Ⅲ 1 case,type Ⅳ 1 case,typeⅤ 1 the patients were operated by 2 to 14 days after injured and gave active and passive motion of hip was taken at 2nd、8th、12th、16th、24th week after operation to confirm the union of All the cases were followed up from 3 to 45 months（average was 25 months）.The average union time was months,except only 3 patients suffered from superfacial soft tissue patients’ arthrosis exteio were excellent,while 6 were approximately normal,only 3 patients were bad and the fine rate was 88%.Conclusion Treatment of interchanteric and subtrochanteric fracture of femur in old patients combined with Gamma nail and early rehabilitation is less traumatic,has fewer complication and better therapeutic effects. ［Key words］ bone nails;interchanteric;subtrochanteric;fracture;early rehabilitation 股骨粗隆间及粗隆下骨折是老年人常见的骨折，它是一种严重的关节损伤，治疗原则是挽救患者的生命以及恢复髋关节的功能。近年来骨科医生首选采取手术治疗粗隆间及粗隆下骨折，在减少卧床时间及并发症，减少死亡率，减轻病残率，争取早日活动方面取得了满意效果。1997年10月～2006年9月，我科采用Gam