股骨转子间骨折的手术治疗

Operations Respectively of Intertrochanteric Hip Fractures

目的:探讨不同内固定方法在股骨转子间骨折治疗中的意义。方法:2000年5月至2006年5月我院采用135°角钢板,动力髋螺钉(DHS),Gamma钉,股骨近端髓内钉(PFN)内固定治疗60例股骨转子间骨折患者。将每组患者术后优良率、并发症及骨折临床愈合时间,术后功能恢复程度等进行比较。结果:所有病例:优38例,良15例,可7例,优良率89%,平均愈合时间16周,无骨折延迟愈合及不愈合。结论:应用Gamma钉及股骨近端髓内钉(PFN)治疗股骨转子间骨折手术创伤小,固定牢固,出血少,能早期活动,治愈率高,并发症少,疗效满意。

Objective：To explore the significance of various kinds of optioual internal fixations of intertrochanteric hipf ractures. Method：From May 2000 to May 2006,60 cases with intertrochanteric hip fractures were followed up. They were treated with the four kinds of operations respectively ：angled blade plate（ 135o）, dynamic hip screw （ DHS ）, Gamma nail, proximal femoral nail （ PFN ）, The date of each group were collected for statistical anglysis on the following aspects ： intraoperative complications, clinical healing time of fracture, postoperative restored function and complications. Result：All cases, excellent results achieved in 38 eases,good in 15,fair in 7,excellent and good rate was 89% ,All the fractures were healed with an average healing time of 16 weeks without delay union and nonunion. Conclusion：Gamma nail and proximal femoral nail（PFN） in treating the intertrochanteric hip fractures have the following advantages, such as less -invasion, stable fixation, fewer blood loss, early - mobilization, high union rate and fewer complication.