摘要
目的观察动力髋系统固定治疗老年骨质疏松性股骨粗隆间骨折的疗效。方法对骨质疏松性股骨粗隆间骨折的老年患者66例，采用微创闭合复位和服用抗骨质疏松药物，术后随访疗效及并发症。结果随访13．5个月（6～18个月），全部病例均于3～4个月内获骨性愈合。随访中Harris评分优34例，良22例，髋关节功能恢复优良率100％。无骨折不愈合、内固定失败或松动、交锁钉切割股骨颈及严重神经、血管损伤。结论动力髋系统固定治疗老年人骨质疏松性股骨粗隆间骨折疗效确切，是简便、微创、功能影响小、力学稳定性好的手术方法。
Objective To observe the clinical effect and follow-up outcome of the osteoporotic femoral intertrochanteric fractures after treatment with DHS in the elderly. Methods Sixty-six cases with OFIF were treated with open reduction and percutaneous insertion of DHS during February 2003 to April 2007. All patients took the microclosed reduction and anti-osteoporotic medicines during the treatment and they were followed up for outcome and com- plications. Results All patients were followed up for a mean duration of 13.5 （ 6 - 18 ） months, the average fracture healing time was 3 - 4 months. Harris scores excellent was 34 cases and good was 22 cases. The excellent and good rate of osteoporosis was 100%. No non-union mechanical fixation failure,bone cut out or severe nerve and vessel injury was noticed. Percutaneous insertion of DHS is effective in treatment of osteoporotic intertrochanterie fractures in the elderly. Conclusion The surgical principles include use of simple, effective and safe method, less functional influence and good mechanic fixation, which can reduce the complications and promote early recovery.
出处
《中国基层医药》
CAS
2009年第5期830-831,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
骨质疏松
股骨骨折
手术
动力髋系统
Osteoporosis
Femoral Fraclures
Surgical Procedures, Operative
DHS
