摘要
目的 回顾性分析股骨转子间骨折的治疗方法。 方法 自 1990至 2 0 0 0年 ,共收治股骨转子间骨折患者 42 6例 ,分别采用牵引、外固定架、多根斯氏针、鹅头钉板、γ钉或动力髋螺钉 (DHS)固定治疗。其中 2 37例 (5 5 .6 % )随访 3～ 5 1个月 ,平均 18个月。 结果 2 37例随访病例中 ,复位及内固定满意率为 89.0 % (2 11 2 37) ,愈合率为 97.5 % (2 31 2 37) ,功能恢复接近受伤前水平为 6 5 .8% (15 6 2 37)。并发髋内翻为 5 .1% (12 2 37)。 结论 大多数股骨转子间骨折均需手术治疗 ,应根据全身情况、骨骼质量和骨折类型决定使用何种固定物。
Objective To retrospectively study the treatments of intertrochanteric fracture of the femur. Methods Between 1990 and 2000, 426 cases of intertrochanteric fractures of the femur were treated with traction, external fixation, multiple Steiman's pins, fixed nail plates, γ nails and dynamic hip screws. Of 426 cases, 237 (55.6%) were followed up for 3-51 months (mean 18 months). Results In the 237 cases, 211 cases (89.0%) got good reduction and implant position, 231 cases (97.5%) union, 156 cases (65.8%) functional recovery near to preinjury state, and 12 cases (5.1%) hip varus. Conclusions All the intertrochanteric fractures need surgical intervention in order to achieve early mobilization and prompt functional recovery. The fixation should be chosen based on the general condition, bone quality and fracture type.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2001年第12期713-714,共2页
Chinese Journal of Trauma
关键词
股骨骨折
外科手术
外固定器
内固定器
Intertrochanteric fractures
Surgical procedures, operative
External fixator
Internal fixator
