老年粗隆部骨折内固定选择及早期功能锻炼效果分析

Elderly intertrochanteric fractures internal fixation and early functional exercise effect analysis selection

目的：研究老年粗隆部骨折内固定的方法选择及早期功能锻炼实际效果.方法：选取2009年10月至2011年9月我院骨科收治老年粗隆部骨折26例,均行Gamma钉内固定手术并结合早期功能锻炼治疗,术后通过X片观察患者的骨折痊愈情况.结果：术后随访结果表明,26位患者骨折均愈合,平均愈合时间14.5个月,骨折具体愈合情况为：16例优,8例良,2例差.其中2例发生浅表感染.结论：Gamma钉内固定结合早期功能锻炼能有效治疗老年粗隆部骨折,治愈率高且创伤小,并发症少,临床疗效显著.

Objective：Research elderly intertrochanteric fracture fixation method of choice and the actual effect of early functional exercise. Methods：From October 2009 to September 2011 orthopedic hospital elderly intertrochanteric fracture treated 26 patients underwent Gamma nail fixation combined with early exercise therapy in patients with postoperative X--ray observation of fracture healing. Results：The postoperative follow--up results showed that 26 patients healed fractures, the average healing time of 14.5 months, the specific fracture healing as follows：16 cases excellent, 8 good, 2 patients is poor. Including two cases of superficial infection. Conclusion：Gamma nail fixation and early exercise is effective in treating the elderly trochanteric fracture, high cure rate and trauma,fewer complications,clinically significant effect.