摘要
目的比较动力髋螺钉(DHS)和解剖钢板治疗老年股骨转子间骨折的临床疗效。方法应用DHS和解剖钢板治疗老年股骨转子间骨折患者52例,其中DHS21例,解剖钢板31例,统计切口长度、手术中出血量、术后引流量、手术时间、骨折愈合时间及疗效等指标。结果与DHS组相比,解剖钢板组切口长度及手术时间短、术中出血量及术后引流量少、骨折临床愈合时间短;两组疗效差异不显著。结论解剖钢板技术创伤小、操作简单、固定牢靠,是治疗老年转子间骨折的理想方法之一。
Objective To compare the clinical effects among the aged patients which used dynamic hip screw（DHS）and anatomical bone plate during intertrochanteric fracture（ITF）surgery.Methods Among 52 cases with ITF cured with 2 kinds of screw-plate system internal fixations,DHS（21 cases）and anatomical bone plate（31 cases）respectively.Length of incision,blood loss,draining after operation,surgical time,time of bone union,clinical effect were collected.Results The clinical effect of ITF therapy among 2 kinds of screw-plate system internal fixations had no significant difference.But more index dominance was see in anatomical bone plate group.Conclusion DHS and anatomical bone plate are both safe and effective devices when used for ITF in elderly.The operative manipulation is more simple for anatomical bone plate.
出处
《中国医药指南》
2010年第20期65-66,共2页
Guide of China Medicine
关键词
转子间骨折
内固定
动力髋螺钉
解剖钢板
Intertrochanteric fracture
Internal fixation
Dynamic hip screw
Anatomical plate
