摘要
目的:综合评价改良型Gamma钉治疗股骨转子间骨折的疗效及并发症。方法:对使用改良Gamma钉法82例的疗程进行综合分析,并对46例现存患者进行平均21月随访,总结疗效及并发症。结果:根据临床资料及随访结果统计,远期疗效优者35例(76％),良者7例(15％),优良率91％。46例骨折全部愈合,未见骨不连。急诊手术10例,术中锁钉折断2例,术后伤口感染2例,不同程度的髋内翻及肢体短缩7例,拉力螺钉穿出股骨头2例,未见不能行走及需再次手术者。结论:改良型Gamma钉设计小型化,固定可靠,适合急诊手术,且术后关节活动及下地较早,是目前治疗股骨转子间骨折的首选类别。对于一些特殊类型的骨折,Gam-ma钉难以给予满意治疗。Camma钉术后并发症和其它手术内固定方式无显著差别。Gamma钉器械有待进一步改进。
Objective: To synthetically evaluate the effect and complication of improved Gamma Nail treating intertrochanteric fracture. Methods:To synthetically analyse the 82 cases of using improved Gamma Nail and follow - up 46 alive patients in average 21 months, then sum up the effect and complications. Result: According to clinical data and follow up result,35 cases were excellent long- term effect (76%) ,7 cases fine long- term effect(15%) ,so the choiceness rate is 91 %. 46 cases of fracture all healed. 10 cases were emergently operations,2 cases were lock pin break at operation,2 cases were wound infection after operation, 7 cases were different extent of coxa varus and limb shortening,2 cases were bolts to pull out femoral head. There are no patient of unable to walk and need for re- operation. Conclusion: Miniaturization and fixation of improved Gamma Nail fit for emergent operation, moreover the time of joint motion after operation and out of bed is rather early. It is the first selection to treat intertrochanteric fracture at present. To some special type fracture,Gamma Nail is hard to give satisfactory therapy. It has not marked difference between complications of after Gamma Nail operation and other internal fixation manner. Gamma Nail requires improvement.
出处
《中国医学工程》
2002年第6期96-98,共3页
China Medical Engineering
关键词
骨折
转子间的
内固定术
并发症
Fracture
Intertrochanteric
Internal Fixation
Complication
