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经皮加压钢板与动力髋螺钉治疗老年稳定性股骨粗隆间骨折对照研究 被引量：3

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摘要 目的比较经皮加压钢板(PCCP)和动力髋螺钉(DHS)治疗老年稳定性股骨粗隆间骨折的早期临床疗效。方法采用随机对照方法对我院2011年1月至2011年7月收治的股骨粗隆间骨折病人进行研究,比较PCCP和DHS治疗老年稳定性股骨粗隆间骨折的切口长度、手术时间、手术出血量、伤口引流量、卧床时间以及术后伤口感染等临床指标。结果 PCCP组切口长度、手术出血量、术后引流量与DHS组相比之差异均有统计学意义(P<0.05),手术时间、下床时间及感染率也较DHS具有一定优势,但差异无统计学意义(P>0.05)。结论 PCCP手术治疗老年稳定性股骨粗隆间骨折的临床疗效,较DHS更佳。
作者 李雅欣 蒋盘强 程力 许宏俊
机构地区 江苏省无锡市人民医院骨科 江苏省无锡市中医医院骨伤研究所
出处 《国际骨科学杂志》 2012年第1期76-77,共2页 International Journal of Orthopaedics
关键词 经皮加压钢板 动力髋螺钉 股骨粗隆间骨折 老年人
分类号 R687.3 [医药卫生—骨科学]
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参考文献9

  • 1Goffried Y. Percutaneous compression plating of intertrochanteric hip fractures. J Orthop Trauma, 2000, 14(7) :490-495.
  • 2Gotfried Y, Cohen B, Rotem A. Eiomechanical evaluation of the percutaneous compression plating system for hip fractures. J Orthop Traurm, 2002, 16(9):644- 650.
  • 3grandt SE, Lefever S, Janzing HM, et al. Percutaneous compression plating (PCCP) versus the dynamic hip screw for pertrochanteric hip fractures. preliminary results Injury, 2002, 33(5):419-418.
  • 4Janzing HM, Houben BI, Brandt SE, et al. The gotfried Percutaneous compression plate versus the dynamic hip screw in the treatment of pertrochanteric hip fractures: minimal invasive treatment reduces operative time and postoperative pain. J Trauma, 2(D2, 52(2):293-298.
  • 5Peyser A, Weil YA, Brocke L, et al. A prospective, randomised study comparing the percutaneous compression plate and the compression hip screw for the treatment of intertrochanteric fractures of the hip. J Bone Joint Surg Br, 2007, 89(9) :1210-1217.
  • 6Kosygan KP, Mohan R, Newman RJ. The got:fried percutaneous compression plate compared with the conventional classic hip screw for the fixation of intertrochanteric fractures of the hip. J Bone Joint Surg Br, 2002, 84(1):19-22.
  • 7Brandt E, Verdonschot N, van Vugt A, et al. Piomechanical analysis of the percutaneous compression plate and sliding hip screw in imracapsular hip fractures: experimental assessment using synthetic and cadaver bones. Injury, 2006, 37(10) :979-983.
  • 8Gotfried Y. The Gotiried percutaneous compression plate compared with the conventional classic hip screw for the fixation of intertrochanteric fractures of the hip. J Bone Joint Surg Br, 2003, 85(1):148.
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同被引文献50

  • 1汪伟,王岩,崔健,韩刚.股骨近端三维几何形态重建[J].中华外科杂志,2003,41(10):744-748. 被引量：30
  • 2邱贵兴.骨质疏松性骨折——被忽视了的健康杀手[J].中华医学杂志,2005,85(11):730-731. 被引量：76
  • 3Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporot- ic fractures[J]. Lancet,2002,359(9319):1761-1767.
  • 4Brandt SE, Lefever S, Janzing HM, et al. Percutaneous compression plating (PCCP) versus the dynamic hip screw for pertrochanteric hip fractures: preliminary results[J]. Injury,2002,33(5):413-418.
  • 5Janzing HM, Houben BJ, Brandt SE, et al. The Gotfried PerCutaneous Compression Plate versus the Dynamic Hip Screw in the treatment of pertrochanteric hip fractures: minimal invasive treatment reduces operative time and postoperative pain[J]. J Trauma,2002,52 (2):293-298.
  • 6Kosygan KP, Mohan R, Newman RJ. The Gotfried percutaneous compression plate compared with the conventional classic hip screw for the fixation of intertrochanteric fractures of the hip[J]. J Bone Joint Surg Br,2002,84(1):19-22.
  • 7Peyser A, Weil YA, Brocke L, et al. A prospective, randomised study comparing the percutaneous compression plate and the com- pression hip screw for the treatment of intertrochanteric fractures of the hip[J]. J Bone Joint Surg Br,2007,89(9): 1210-1217.
  • 8Peyser A, Weil Y, Brocke L, et al. Percutaneous compression plating versus compression hip screw fixation for the treatment of inter- trochanteric hip fractures [J]. Inj ury,2005,36( 11 ): 1343 - 1349.
  • 9Romero JM, Diaz RA, Oropeza YM. Dynamic hip screw vs. percuta- neous compression plate for trochanteric fractures[J]. Acta Ortop Mex,2008,22(2): 115-119.
  • 10Brandt E, Verdonschot N, van Vugt A, et al. Biomechanical analysis of the percutaneous compression plate and sliding hip screw in in- tracapsular hip fractures: experimental assessment using synthetic and cadaver bones[J]. Injury,2006,37(10):979-983.

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国际骨科学杂志
2012年 第1期

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