经皮Gamma钉治疗股骨粗隆部骨折(24例报告)

Percutaneous Treatment of Peritrochanteric Fractures Using The Gamma Nail

目的:评价经皮Gamma钉治疗股骨粗隆部骨折的临床结果。方法:自2000年5月至2005年1月,临床应用经皮Gamma钉治疗股骨粗隆部骨折24例(男18例,女6例),平均年龄52.5岁(45岁～76岁),术后评估治疗效果。结果:所有病人术后随访1.1年～4.2年,骨折平均18周(15周～20周)达到愈合。没有发生骨折不愈合和神经损伤合并症。获得满意的临床治疗效果。结论:应用经皮Gamma钉治疗股骨粗隆部骨折,操作方法安全有效,允许术后早期活动,且有利于患者的康复。

Objective： To evaluate the clinical results of percutaneous treatment of peritrochanteric fractufres using the Gamma nail. Methods： From May 2000 to January 2005, 24 patients of peritrochanteric fractures were treated by using the percutaneous Gamma nail.（male 18 cases, female, 6 cases）. The average was 52.5 years （range from 45 to 76 years）. The results of treatment was evaluated. Results： All patients were followed up for 1.1 -4.2 years. Fractufres heal was achieved in all patients at 15-20 weeks postoperatively. There were no pseudarthrosis or neurologic complications with a satisfactory clinical result. Conclusion- Percutaneous treatment of peritrochanteric fractufres using the Gamma nail. night be safe and effective procedure, permits immediate postoperative mobilization and improved fusion rate and benefited rehabilitation.