摘要
自１９８８年以来，作者分别应用国产Ｇａｍｍａ钉和滑动加压鹅头钉治疗股骨转子周围骨折５０例（５１髋）和９４例。通过比较认为，两种手术方法的平均住院日、术后并发症及关节恢复情况相似。术后随访时间分别为４～３０个月和６～６０个月，平均１６个月和２８个月。随访６个月以上共１３０例，所有骨折均愈合。关节功能优良率分别为９３．２％和９４．２％。Ｇａｍｍａ钉组的平均手术时间、切口长度、输血量及术后引流量显著低于滑动加压鹅头钉组（Ｐ值＜０．０５）。Ｇａｍｍａ钉作为一种新的股骨转子周围骨折的治疗技术，具有操作简单、固定牢固、手术损伤小、失血少、感染率低等优点，值得应用和推广。
One hundred and forty four cases of peritrochanteric fractures treated with either domestic Gamma nail or dynamic hip screw were reviewed and studied comparatively.There were 50 cases(51 hips) fixed with Gamma nail and 94 cases with dynamic hip screw respectively.130 cases were followed up for more than half a year and all the fractures healed up well.There were no difference in the incidence of wound complications,the period of hospitalization,and mobility of the limb at the final review.The time of operation was in average shorter in the Gamma nail group than that used in the dynamic hip screw group.The surgical incision was also shorter in the Gamma nail group,and also a smaller amount of blood transfusion as well as a smaller volume of postoperative drainage were observed.The difference was statistically significant(P< 0.05). 62% of the patients in the Gamma nail group did not receive blood transfusion at surgery.As a new technique,Gamma nail has the advantages of simpler manipulation,rigid fixation,less blood loss and lower infection rate.It is a recommendable method for the treatment of peritrochanteric fractures.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1997年第4期237-239,共3页
Chinese Journal of Orthopaedics
