摘要
目的:探讨老年股骨粗隆间骨折治疗方法及疗效。A-法:64例老年股骨粗隆间骨折患者,随机分为DHS组、牵引组。DHS组采用DHS固定治疗34例;牵引组采用股骨髁上牵引治疗30例。结果:经x2检验P=0.85〉0.05,无显著性差异,DHS与股骨髁上牵引治疗优良率元明显差别;牵引组愈合时间短于DHS组;DHS组负重时间短于牵引组,但牵引组的髋内翻发生高于DHS组。结论:DHS系统和牵引治疗老年股骨粗隆间骨折疗效可靠,但各有利弊,临床应正确选择,达到愈合快,痛苦小,并发症少目的。
Objective : To investigate the treatment of intertrechanteric fractures of the method and effect. Methods : 64 elderly patients with intertrochantefic fractures were randomly divided into two groups DHS, traction group. DHS DHS fixation in the treatment group were 34 cases; traction group were distal femoral traction treatment for 30 cases. Results: x 2 test P = 0.85 > 0.05, no significant difference, DHS and the distal femoral traction to treat fine was no significant difference; traction healing time shorter than the DHS group; DHS group loading time shorter than the traction group , but the traction group than DHS hip varus group. Conclusion: DHS system and traction of femoral intertrochanteric fracture reliable, but their advantages and disadvantages, Clinical should be the fight choice to achieve healing, pain, fewer complications purpose.