摘要
[目的]通过分析动力髋螺钉(DHS)及人工股骨头置换术治疗股骨粗隆间骨折的手术效果,评价不同的手术方案治疗高龄患者股骨粗隆间骨折的临床效果。[方法]本组40例,男22例,女18例;年龄75～90岁,平均82岁。其中22例应用DHS手术内固定治疗;18例采用人工股骨头置换术治疗。[结果]平均随访1.5a,应用DHS及人工股骨头置换术患者,卧床时间分别为3周和1周,完全负重时间分别为10周和6周。无感染及骨折不愈合发生。2例DHS内固定的患者出现螺纹钉穿出股骨头,4例出现髋内翻,2例出现肺部感染。仅30%年龄>70岁的患者恢复至术前的活动水平。[结论]人工股骨头置换术是老年人股骨粗隆间骨折较为理想的内固定方法,可大大减少并发症。
[ Objective ] To evaluate and compare the of the ideals surgical technique for intertrochanteric fractue between DHS and arthroplasty. [ Method] A total of 40 gerontal patients with the different surgical treatment from January 1999 to May 2004 were chosen. The mean age of the patients was 82 （75 - 90）. Among the patients, 23 patients by DHS, 17 by arthroplasty. [ Result]The duration of follow-up averaged 1.5 years. The time in bed were 3 and 1 weeks due to DHS and arthroplasty, the full weight-bearing time were 10 and 6 weeks. [ Conclusion] arthroplasty is ideal choice for the un-stable intertrochanteric fractue.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第6期431-433,共3页
Orthopedic Journal of China
关键词
高龄
股骨粗隆间骨折
骨折固定
人工关节
Gerontal
Intertrochanteric fractue
Fracture fixation
Arthroplasty
