动力髋螺钉固定术配合口服中药治疗高龄股骨粗隆间骨折

Dynamic Hip Screw Fixation Combined of Oral Medicine Treating Intertrochanteric Fracture

目的：探讨采用动力髋螺钉（DHS）固定术配合口服中药治疗高龄股骨粗隆间骨折的方法和疗效。方法：对2004年1月-2009年1月收治的股骨粗隆间骨折患者进行手术治疗。其中男25例，女21例，年龄65-83岁，平均年龄73岁，采用动力髋螺钉（DHS）固定术。结果：1例病人术后3天出现患肢深静脉血栓，经活血、溶栓治疗后恢复。2例因其他疾病死亡，43例骨折均全部愈合，已恢复原来生活能力，无内固定物松动及髋内翻畸形等并发症。结论：动力髋螺钉（DHS）固定术配合口服中药治疗高龄股骨粗隆间骨折具有操作简单、时间短、固定可靠、损伤小、出血少、骨折愈合率高、并发症少等优点，是值得推广应用的手术方法。

Objective： To investigate the method and effect of the dynamic hip screw （ DHS ）fixation of intertroehanteric fracture. Methods ： During January 2004-January 2009, patients admitted because of intertroehanteric fractures were treated surgically, including 25 males and 21 females, aged 65 to 83 years old, mean age was 73, using dynamic hip screw （ DHS ） fixation. Results ： 3 days after surgery, 1 case limb deep vein thrombosis occurs, the blood circulation restored after thrombolytic therapy. 2 patients died due to other diseases, 43 cases of fracture were all healed and returned to the original capacity, no loosening of internal fixation, or complications such as varus deformity. Conclusion ： The dynamic hip screw （ DHS ） fixation combined with oral medicine treatment of intertrochanteric fracture is simple, treatment course is short, fixed and reliable, with less damage, less bleeding, high fracture healing rate, fewer complications, and is worthy of promoting application for the surgical method .