【摘要】 目的观察探讨动力髋螺钉(DHS)、Gamma钉、股骨近端髓内钉(PFN)在治疗股骨粗隆间骨折治疗中的应用和疗效。方法对78例股骨粗隆间骨折行DHS、Gamma钉、PFN内固定治疗,术后随访12月至3年,平均24个月。结果在髋关节功能评分优良率:PFN组是94.1%,DHS(动力髋螺钉)组93.0%,Gamma钉组优良率94.4%。结论各种固定有其自身特点,PFN是治疗粗隆间骨折最牢固的髓内固定方式,尤其适用于不稳定股骨粗隆间粉碎性骨折。更多还原

【Abstract】 Objective To observe and discuss the DHS、Gamma、PFN application and its effect in the instable femoral intertrachanteric fracture. Methods Internal fixation was performed with the DHS、Gamma、PFN for the 78 cases of femoral instable intertrachanteric fracture. Results With the 12~36 (24)months follow up after the operation, the excellent and good rate of DHS group was 93.0%、the excellent and good rate of Gamma group was 94.4%,the excellent and good rate of PFN group was 94.1%. Conclusion Every group has own benefit. PFN is the best internal fixation for the treatment of femoral instable intertrachanteric fracture, especially to the comminuted femoral intertrachanteric fractures.更多还原