动力髋螺钉结合转子稳定钢板治疗不稳定性股骨转子间骨折

Dynamic hip screw combined with trochanteric stabilizing plate for unstable femoral intertrochanteric fracture

目的:探讨应用动力髋螺钉结合转子稳定钢板治疗不稳定性股骨转子间骨折的疗效。方法:我院自2007年1月-2009年12月采用动力髋螺钉结合转子稳定钢板治疗不稳定性股骨转子间骨折共22例,统计骨折类型、手术时间、术中出血量、术后并发症、住院天数、骨折愈合及功能恢复情况,评价治疗效果。结果:平均随访16个月,所有病人骨折全部愈合,术后半年根据Harris髋关节功能评定,优良率90.9%。结论:正确的手术操作和恰当的术后康复锻炼,应用DHS结合TSP,治疗A2.2、A2.3型不稳定性骨折及外侧壁薄弱的经大转子骨折的转子间骨折,可以取得良好的治疗效果。

Objective：To evaluate clinical effects of dynamic hip screw combine trochanteric stabilizing plate in treatment of unstable intertrochanteric fracture of femur.Methods：We reviewed 22 patients who had been treated for intertrochanteric fractures with DHS combine TSP between January 2007 and December 2009 in our hospital.The effect was evaluated from：fracture type,operating time,blood loss,complications,length of stay,fracture healing and function recovery.Results：The mean follow-up time was 16 months,all patients were healed successfully.Six months after operation,the recovery of hip function were satisfactory according to Harris hip function score,the excellent and good result rate was 90.9%.Conclusions：Correct operation and proper rehabilitation,DHS combine TSP is an effective device for the treatment of A2.2 and A2.3 type fractures and fractures that the lateral wall is weak.