解剖钢板与动力髋螺钉治疗股骨转子间骨折的临床比较

Effect comparison between the anatomical plate and dynamic hip screw in the treatment of intertrochanteric fracture of femur

目的比较解剖钢板与动力髋螺钉(DHS)治疗股骨转子间骨折的临床疗效。方法应用两种内固定方法治疗股骨转子间骨折56例,其中解剖钢板27例(A组),DHS 29例(B组),统计手术中出血量、手术时间、术后引流量、术后并发症及髋关节功能等指标。结果解剖钢板与DHS治疗股骨转子间骨折的临床疗效差异无统计学意义(P>0.05),但在手术中出血量、手术时间、术后引流量解剖钢板比DHS减少,差异有统计学意义(P<0.05)。结论解剖钢板治疗股骨转子间骨折具有操作简单、手术创伤小、固定可靠等优点,是一种较好的治疗股骨转子间骨折的内固定方法。

Objective To compare the effects between the anatomical plate and dynamic hip screw（DHS） in the treatment of iutertrochanteric fracture of the femur. Methods The two types of internal fixation for the treatment of intertrochanteric fracture of femur were applied in 56 patients. Of them 27 patients were treated by anatomical plate （A group）, 29 patients were treated by DHS （B group）, the statistics of intraoperative bleeding volume, operative t/me, postoperative drainage volume, postoperative complications and hip joint function and so on were performed between two groups. Results There was no significant difference in the clinical efficacy between anatomleal plate and DHS in the treatment of intertrochanteric fracture of the femur（P 〉0. 05）, but the A group is superior to B group in the intraoperative bleeding volume, operative time and postoperative drainage vohune （P 〈0. 05）. Conclusion Anatomical plate in the treatment of intertrochanteric fracture of the femur have advantages such as simple operation, less damage, reliable fixation and so on, and it is a better treatment method of intertrochanteric fracture of the femur.