外固定支架治疗老年股骨转子间骨折

Treatment of aged intertrochanteric fractures with external fixator

目的:探讨外固定支架治疗老年股骨转子间骨折患者的临床疗效。方法:应用外固定支架治疗老年股骨转子间骨折32例,按Evans标准分类:Ⅰ型9例,Ⅱ型6例,Ⅲ型8例,Ⅳ型9例。参照董纪元等评价标准进行术后疗效评定。结果:32例均获得随访,最短7个月,最长3年,平均15个月。按照董纪元等评价标准进行疗效评定,优23例,良5例,中3例,差1例,优良率达87.5%。结论:外固定支架治疗老年股骨转子间骨折患者,具有固定牢靠、创伤小、并发症少等优点,有利于早期功能恢复,是一种较好的治疗老年股骨转子间骨折的手术方式。

Objective： To investigate the clinical effect of external fixator on aged intertrochanteric fractures.Method： A total of 32 cases with aged intertrochanteric fracture were treated with the external fixator.According to the Evans classification,there were 9 cases with typeⅠ,6 cases with type Ⅱ,8 cases with type Ⅲ and 9 cases with type Ⅳ.The evaluation criteria of Dong Jiyuan were employed to evaluate the postoperative curative effect.Results： The postoperative curative effect in 32 cases was evaluated according to the evaluation criteria of Dong Jiyuan,follow-up averaged 15 months,and the results were as follows： excellent in 23 cases;good in 5 cases;fair in 3 cases;and poor in 1 case.The excellent rate was 87.5%.Conclusion： External fixation for the treatment of aged intertrochanteric fractures has certain advantages such as rigid fixation,less trauma,and fewer complications,which is conducive to early functional recovery and a good surgical manner for the treatment of aged intertrochanteric fractures.