骨牵引治疗股骨粗隆间骨折96例临床体会

Clinical experience of 96 cases with skeletal traction in treatment of intertrochanteric fractures

目的:探讨骨牵引治疗股骨粗隆间骨折的疗效。方法:对2001～2008年采用骨牵引加中药内服外敷治疗股骨粗隆间骨折96例,按髋关节创伤后的功能评分(Sanders)标准对关节治疗后功能进行评估。结果:本组96例经0.5～3年随访,优36例,良53例,差7例,优良率为92.7%。4例并发轻度肺部感染,2例出现褥疮,2例因排尿困难放留置尿管后出现尿路感染,余无其他严重并发症。结论:持续骨牵引治疗股骨粗隆间骨折简单易行、费用低,是一种简便而有效的治疗方法。

Objective：To discuss the effect of skeletal traction on treatment of intertrochanteric fractures.Methods：A total of 96 cases with intertrochanteric fracture admitted from 2001 to 2008 were selected.All were treated by oral administration and external application of traditional Chinese medicine,and the function was evaluated by Sanders scale.Results：All 96 patients were followed-up for 6 months to 3 years,and there were 36 excellent cases,53 good cases,and 7 poor cases,with excellent and good rate as 92.7%.Four cases were complicated by mild lung infection,2 cases by pressure ulcers,and 2cases with voiding difficulty,urinary tract infection after indwelling catheter,and no other serious complications occured.Conclusions：With easy procedure,low cost,continuous skeletal traction is simple and effective treatment of intertrochanteric fractures.