GAMMA钉在粗隆间骨折的临床应用

The Treatment of Intertrochanteric Fracture With Gamma Nail

自1993年开始到现在,作者用Gamma钉治疗股骨粗隆间骨折28例.在本组28例中有20例随访在3个月以上,均见骨痂生长或骨愈合,无患肢短缩、内外旋转和骨不连表现.作者认为治疗成功的关键是骨折的解剖复位、断端的加压及远端的自锁钉固定.如果达此目的,即能收到坚强而稳定内固定效果,术后能早期进行功能练习.作者认为Gamma钉内固定技术对老年人股骨粗隆间骨折是一种行之有效的方法.与其他方法比较,此内固定物更接近人体生物力学,而且手术后能早期离床康复练习,减少床上并发症.但是对有严重骨质疏松的老年股骨粗隆间骨折患者,需要慎重考虑应用此内固定技术.

Authors have treated 28 cases of intertrochanteric fracture with Gamma nail since 1993. Postoperatively 20 of 28 cases were followed up over three months,No shortenning,rotation deformity and ununion were found. Authors think that the keys of succession are anatomic reduction,compressivc fracture and applying interlocking screw. Authors conclude that Gamma nail was effective for threating intertrochanteric fracture in senior patienst. It reduced the complications of in bed and recovered sooner. Fracture with serious osteoporosis is a problem that must be considered.