老年股骨粗隆间骨折的手术治疗

Operation to elder intertrochanter fracture

目的探讨老年股骨粗隆间骨折手术治疗的方法和疗效。方法分析老年股骨粗隆间骨折137例手术治疗情况。采用DHS钉固定113例,DHS钉加大粗隆接骨板固定15例,PFN钉治疗8例。结果随访103例,平均时间16个月,优69例,良23例,可9例,差2例。优良率89.3%,并发症发生率17.6%。结论手术治疗老年股骨粗隆骨折具有早期允许负重、功能恢复快、并发症少等优点。

To evaluate the surgical operation and outcome of the people with the intertrochanter fracture. The surgical outcomes of the 137 old patients with intertrochanter fracture had been analysed: 113 cases were fixed with DHS; 15 cases were fixed with DHS and osteotomy plate; 8 cases were fixed with PNF. 103 patients were followed up with an average of 16 months, with excellent in 69 cases, good in 23 cases, moderate in 9 cases, poor in 2 cases. The percentage of the excellent and good was 89.3%. complication was 17.6%. [Conclusions] The surgical treatment of the intertrochanter fracture in the older patient permit people to weight-bearing in early stage, and less complication and functional recovery as quickly as possible.