DHS内固定治疗股骨粗隆间骨折的临床评价

Effect of DHS for Treatment of Femoral Intertrochanteric Fracture

目的 报告应用DHS内固定治疗股骨粗隆间骨折 32例的疗效。方法 对 32例股骨粗隆间骨折 (A116例 ,A2 12例 ,A3 4例 )采用DHS治疗。结果 经 4～ 11个月 ,平均 6个月的随诊 ,疗效满意。结论 认为加压螺钉的位置应是在正位平行于股骨颈的长轴 ,位于股骨距稍上的水平 ,侧位位于股骨颈的中轴线上。强调术前准确复位和术后下肢静脉血栓的预防。

Objective This article reported the effect of DHS for treatment of femoral intertrochanteric fracture.Methods Thirty two cases with femoral in tertrochanteric fracture were treated by DHS , according to AO classification (that is , A1 16 , A2 12, A3 4). Result All Patients were followed-up from 4 to 11 months with average of 6 months, their effect was satisfactory . Conclusion In the antero-posterior X- ray film ,the position of the lag screw should be parallel to the long axis of the neck of femur, slightly above the level of the femoral calcar. In the lateral x-ray film, the position of the lag screw should be on the medial axis of the femoral neck. The accurate reduction, post-operative prevention of venous thrombo-embolism of the lower extremities , the importance of the early passive movement of the hip ,the knee and the ankle joints are highly emphasized.