股骨粗隆间骨折三种内固定方法的临床治疗分析(附85例报告)

Analysis on Clinical Treatment of Intertrochanteric Fracture of Femur with Three Intraflxative Materials

作者对国产Gamma钉,Richards钉及麦氏鹅头钉三种内固定方法治疗股骨粗隆间骨折的手术时间,术中失血量,术后下床负重时间,住院时间及骨折临床愈合时间进行了临床统计学处理并临床疗效分析。结果表明,三组在手术时间,术中失血量二项指标上无明显差异,而在术后起床负重时间,住院时间及骨折临床愈合时间则存在明显差异作者认为,Gramma钉的设计更符合人体生物力学原理,更有利于骨折部位的愈合及髋关节功能的恢复,是目前治疗股骨粗隆间骨折比较理想的内固定材料。

There are several kinds of internal fixtive materials and ways of therapy for intertrochanteric fracture of femur. The three internal fixtive nails include home-made Gamma, Richards and Mclanghlin. Their clinical effects and some items of the course are studied and analized, such as: a. the time of operation; b. the amount of blood lost during operation; c. the time of getting up and heavy burden after operation; d. the duration of hospitalization; e. the duration of clinical healing of fracture. The result shows that there is no significant difference in a, b. While the situation is quite different in item c, d, e. Our data indicates that home- made Gamma nail is more comformable to human s biomecha-nism and more favourable to the healing of fracture as well as the recovery of hip function. It is believed that Gamma nail is an ideal internal fixtive material for intertrochanteric fracture of femur.