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动力髋螺钉结合大粗隆支持钢板治疗粗隆间骨折
Efficacy of Treatment of Type EvansⅢB、Ⅳ Femoral Intertrochanteric Fractures with DHS and TSP
【摘要】 目的探讨应用动力髋螺钉结合大粗隆支持钢板治疗EvansB、型股骨粗隆间骨折的临床疗效。方法2004年2月至2007年8月采用动力髋螺钉加大粗隆支持钢板组合治疗EvansB、型股骨粗隆间骨折93例,按Evans分型,B型41例,型52例。合并其他骨折19例。结果92例获得随访,时间6~30个月,均骨性愈合,平均骨折愈合时间10.8周(7~16周)。功能评定优良率84.8%。结论动力髋螺钉结合大粗隆支持钢板对处理EvansB、型股骨粗隆间骨折是一种有效的治疗方法。
【Abstract】 Objective To explore clinical effect of treatment of type EvansⅢB、Ⅳ femoral intertrochanteric fractures with DHS(dynamic hip screw) and TSP(trochanteric stabilization plate).Methods From February 2004 to August 2007,93 cases of type EvansⅢB、Ⅳ femoral intertrochanteric fractures,including type EvansⅢB 41 cases,type EvansⅣ 52 cases,were treated with DHS and TSP.19 fractures were multiple.Results 92 cases were followed up for 6 to 30 months.All the fractures got bony union after 10.8(7~16) weeks.The functions was excellent and good at the ratio of 84.8%(78/92).Conclusion DHS and TSP is an idea method to treat type EvansⅢB、Ⅳ femoral intertrochanteric fractures.
【Key words】 femoral intertrochanteric fracture; dynamic hip screw; trochanteric stabilization plate;
- 【文献出处】 实用骨科杂志 ,Journal of Practical Orthopaedics , 编辑部邮箱 ,2009年04期
- 【分类号】R687.3
- 【被引频次】1
- 【下载频次】61