摘要
目的:评价短臂DHS内固定治疗稳定性股骨粗隆间骨折的疗效。方法:我院2003年至2005年采用短臂DHS内固定治疗股骨粗隆间Evan′s分型Ⅰ～Ⅳ型骨折32例,年龄45岁～82岁,平均年龄66.7岁。结果:切口长6cm～10cm,平均7.5cm,术中出血量约为50ml。32例获得平均1.2年随访。采用Kuderna疗效评定:优18例,良10例,可3例,差1例。32例均达到骨性愈合,平均愈合时间4.2个月,内固定失效畸形愈合1例。结论:短臂DHS是手术治疗股骨粗隆间骨折较好的内固定方法,但须严格掌握手术适应症,强调在C臂机透视下的良好复位及导针的准确放置是手术成功的关键。
Objective： To evaluate the curative effect of short-arm DHS for treatment of stable femoral intertrochanteric fracture. Methods： Reviewed the 32 Femoral intertrochanteric fracture cases（ Evan＇ s type Ⅰ -Ⅳ）fixed with short-arm DHS from 2003 to 2005 with an average age 66.7 years old（45-82 years old）. Results： Average length of incision is 7.5cm（6cm-10cm）, amount of bleeding during the operation is about 50ml.32 cases were followed-up with average 1.2 years and the evaluation by the Kuderna method is： Excellence 18 cases, good 10 cases, common 3 cases, bad one case. All the fractures were healed with an average time 4.2 months and one case failed. Conclusion： Short-ann DHS fixation might be a good method to treat stable femoral intertrochanteric fracture, the indication must be controlled strictly. Good diaplasis and accurate placement of guide under x-ray were highly emphasized.
出处
《中国伤残医学》
2007年第2期6-8,共3页
Chinese Journal of Trauma and Disability Medicine
