股骨粗隆间骨折的手术治疗

Surgical treatment of the femoral instable intertrachanteric fracture

目的:对股骨粗隆间骨折三种内固定方法(动力髋螺钉DHS、Gamma钉、股骨近端髓内钉PFN)手术治疗效果的观察和探讨。方法:对70例股骨粗隆间骨折行DHS、Gamma钉、PFN内固定治疗结果经术后随访12个月～2年,平均18个月。结果:在髋关节功能评分优良率:动力髋螺钉组91.4%,Gamma钉组94.1%,PFN组94.4%。结论:各种固定有其自身特点,PFN是治疗粗隆间骨折最牢固的髓内固定方式,尤其适用于不稳定粗隆间粉碎性骨折。

Objective：To observe and discuss the DHS, Gamma, PFN application and its effect in the instable femoral intertrachanteric fracture. Methods：Internal fixation was performed with the DHS, Gamma, PFN for the 70 cases of femoral instable intertrachanteric fracture. Results：With the 12-24 （18）months followed up after the operation, the excellent and good rate of DHS group was 91.4%, the excellent and good rate of Gamma group was 94.1%,the excellent and good rate of PFN group was 94.1%Conclusion：Every group has its benefit. PFN is the best internal fixation for the treatment of femoral instable intertrachanteric fracture, especially to the comminuted femoral intertrachanteric fractures.