综合Singh指数与骨折分型选择股骨粗隆间骨折治疗方式

Choosing the treatment strategy of inter-trochanteric femoral fracture according to Singh index and type of fracture

目的探讨Singh指数与骨折分型对股骨粗隆间骨折手术疗效的影响。方法2007—2010年我院收治64例粗隆间骨折患者（研究组），术前综合Singh指数与骨折分型选择固定方式，与以往127例同类患者作为对照进行比较。结果研究组骨折愈合时间（10．5±1．2）周，对照组为（12．6±2．4）周，两组比较差异有统计学意义（t=4．27，P〈0．05）；研究组发生并发症3例，对照组17例，两组比较差异有统计学意义（x^2=5．74，P〈0．05）；研究组优良率为91％（58／64）；对照组为84％（107／127），两组比较差异有统计学意义（x^2=6．28，P〈0．05）。结论综合Singh指数与骨折分型选择股骨粗隆间骨折治疗方式具有临床应用价值。

Objective To study the efficacy of Singhindex and fracture-type-based treatment strategy on inter-trochanter femoral fracture. Methods Sixty four patients who suffered from inter-trochanteric femoral fracture from 2007 to 2010 were recruited into this study. The pattern of fixation was determined according to the preoperative Singh index and fracture type. The efficacy of fixation was compared with that of the previously treated 127 cases in the same condition. Results The healing time of fracture in the study group was 10. 5 ± 1.2 weeks, which was significantly shorter than 12. 6 ± 2. 4 weeks of the control group （ t = 4. 27, P 〈 0.05 ）. Fixationrelated complications were observed in 3 cases in the study group and 17 cases in the control group, which was statistically different between the two groups （ x2 = 5.74, P 〈 0.05 ）. The percentage of patients with excellent outcome in the study group was 91% （58/64）, significantly higher than 84% （107/127）of the control group （x2 = 6. 28,P 〈 0. 05 ）. Conclusion Treating the inter-trochanteric femoral fracture according to Singh index and fracture type will create improved clinical efficacy.