|
解剖钢板治疗老年不稳定型股骨转子间骨折 |
| |
|
作者：胡飞，尚希福，赵其纯，朱亚林，史国光
【摘要】 目的 探讨解剖钢板治疗老年不稳定型股骨转子间骨折的临床效果。[方法]前瞻性比较解剖钢板与动力髋螺钉(DHS)治疗老年不稳定型股骨转子间骨折的临床效果。自2003年6月～2007年5月共治疗58例老年不稳定型转子间骨折，患者随机分成两组，32例采用股骨近端解剖钢板固定，26例采用滑动髋螺钉(DHS)固定。随访9～24个月。观察指标包括：手术时间，术中出血量，输血量，手术后并发症，髋关节Harris评分。[结果]解剖钢板固定组手术时间，术中出血量及输血量小于DHS固定组，髋关节功能Harris评分高于DHS固定组，两组比较差异有统计学意义。解剖钢板固定组早期和晚期并发症发生率均为9.38%，DHS固定组早期并发症发生率为11.54%，晚期并发症发生率为30.78%，两组比较早期并发症差异无统计学意义，晚期并发症差异有统计学意义。[结论]解剖钢板治疗不稳定型股骨转子间骨折可取得较好临床效果。
【关键词】 股骨转子间骨折 骨折内固定术 钢板
Abstract：[Objective]To analyze the clinical effect of the unstable pertrochanteric femoral fracture treated with anatomical plate.[Method]To prospectively compare anatomical plate with dynamic hip screw (DHS) in terms of treatment of the unstable pertrochanteric femoral fracture in elderly.Fiftyeight elderly patients with unstable pertrochanteric femoral fracture who were treated from June 2003 to May 2007 and followed up for 9-24 months were randomized into two treatment groups,ie,anatomical plate internal fixation (group I) and dynamic hip screw internal fixation (group II).Of all,32 patients were treated with anatomical plate internal fixation and 26 with DHS internal fixation.The treatment groups were comparable with regard to all demographic and injury variables.[Result]Patients treated with anatomical plate internal fixation had shorter operative times,fewer blood loss and blood transfusion,and higher Harris scores,there were significant differences in the two groups.The incidence rate of early postoperative complication was 9.38% in group I and 11.54% in group Ⅱ.The incidence rate of late postoperative complication was 9.38% in group Ⅰ and 30.78% in group Ⅱ.There were significant differences in late postoperative complication and no significant differences in early postoperative complication between the two groups.[Conclusion]The unstable pertrochanteric femoral fracture treated with anatomical plate could achieve excellent clinical results.
K [1] [2] 下一页
上一个医学论文： 布鲁氏菌病全国重点监测点监测分析
下一个医学论文： 基于CT三维重建技术的腰椎横突间入路解剖学研究
|
|
|
|
|
|
|
您现在的位置： 绿色健康网 >> 医学论文 >> 基础医学论文 >> 正文