Gamma钉治疗股骨粗隆间骨折

Gamma nail in the treatment of intertrochanter fracture of femur

目的：探讨Gamma钉内固定治疗股骨粗隆间骨折的疗效。方法：自2000年1月-2006年3月收治股骨粗隆间骨折51例，按Evan分型，Ⅱ型和部分ⅢA型采用闭合复位，Gamma钉内固定；其余为切开复位，Gamma钉内固定。结果：随访8～36个月，术后早期并发切口血肿1例、下肢深静脉栓塞2例，无骨折不愈合、髋内翻、内固定松动和断裂，根据X线片和按Harris评分标准，优良率为82．4％。结论：采用闭合复位和切开复位相结合，Gamma钉内固定治疗股骨粗隆间骨折，早期被动和主动功能锻炼，取得较好的临床疗效。

Objective： To investigate the therapeutic effects of internal fixation of Gamma nail for intertrochanter fracture of femur. Methods. 51 cases of intertrochanter fracture of femur were divided into various types according to Evan standard. All types 11 and part of type m were treated occlusion reduction with internal fixation of Gamma nail,and others open reduction with internal fixation of Gamma nail. Resuits： All cases showed union and there were complications including 1 case of incision hematoma,2 cases of deep vein embolism of lawer limb no case of disunion hip inversion, relaxation or fragmentation of internal fixation after 8-36 months fallow up. The fine rate was 82.4% according to X ray film and Harris estimation standard, Conclusion： The internal fixation of Gamma nail for intertrochanter fracture of femur can get better therapeutic effects, when combined occlusion reduction and open reduction.