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滑动加压鹅颈钉治疗股骨粗隆间骨折

Treatment of Intertrochanteric Fracture with Dynamic Hip Screw

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【作者】 莫子丹陈鸿辉梁伟国熊铭知叶伟雄叶韶辉

【Author】 Mo Zidan,Chen Honghui,Liang Weiguo,et al.Department of Orthopedics, Guangzhou Red Cross Hospital,Guangzhou 510220

【机构】 广州市红十字会医院骨科

【摘要】 目的:用手术方法治疗老年人股骨粗隆间骨折,减少并发症及死亡率,尽早恢复病人生活能力。方法:用滑动加压鹅颈钉内固定治疗粗隆间完全骨折。结果:35例病人用DHS固定治疗,术后随访2月~5年,疗效满意。结论:作者认为DHS是目前治疗粗隆间骨折较好的内固定物。但骨质严重疏松病人(Single分类3级以下)不宜做此内固定。小粗隆为压力侧骨碎片,Even分类Ⅲ度、Ⅳ度骨折的病例应固定小粗隆,恢复压力侧骨皮质连续性。

【Abstract】 Objective:To treat senile intertrochanteric fractures with surgical intervention to decrease complication and mortality rate and let the patients recover early.Methods:35 patients with intertrochanteric fractures were treated surgically with dynamic hip screw (DHS).Results:The patients were followed up from two months to five years.Postoperative outcome was satisfactory.Conclusions:The authors consider that DHS is the optimal implant for treatment of intertrochanteric fracture at present.But it is inappropriate for patients with severe osteoporosis (below grade Ⅲ of Single classification).It is necessary for the cases with lesser trochanter fragment (grade Ⅲ and Ⅳ of Even classification) to fix the lesser trochanter in order to reconstruct integrity of the compressed cortex.

  • 【文献出处】 中国矫形外科杂志 ,THE ORTHOPEDIC JOURNAL OF CHINA , 编辑部邮箱 ,1999年05期
  • 【被引频次】213
  • 【下载频次】74
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