股骨粗隆间骨折行复位内固定治疗50例疗效观察

目的观察应用C型臂X线机透视下复位、动力髋螺钉(DHS)内固定在股骨粗隆间骨折治疗的疗效。方法对自2004年1月～2010年12月在C型臂X线机透视下复位、行DHS钢板内固定治疗股骨粗隆间骨折50例进行回顾性分析。结果本组50例,随访6～24个月。所有患者骨折全部愈合,无一例拉力螺钉松脱或钢板螺钉断裂,其中30例髋关节活动基本恢复正常,行走活动功能恢复良好,仅3例出现轻度髋内翻,行走微跛。1例出现行走上坡时有疼痛不适,本组优良率达95.8%。结论 C型臂X线机透视下复位、DHS内固定治疗股骨粗隆间骨折,操作简单,时间短,手术切口小,创伤小,DHS固定强度大,骨折愈合快,患者能早期功能锻炼,关节功能恢复快,康复快,并发症少等特点。

Objective To investigate curative effect of C ann X-ray machine reduction under X-ray, dynamic hip screw （DHS） internal fixation in the treatment of intertrochanteric fractures. Methods In our hospital from January 2004 to December 2010,50 cases femoral intertrochanteric fracture treated with C arm X-ray machine reduction under X-ray, DHS plate fixation were retrospectively analyzed.Results Fifty patients all followed up for 6-24 months. All the fractures healed, and no case happened lag screw loosening or plate and screw fracture, 30 cases of hip joint activity returned to normal, walking function recovered well, only 3 patients experienced mild hip varus, walking slight limp. 1 case walked uphill when there is pain discomfort, the excellent and good rate was 95.8%. Conclusion C arm X-ray machine reduction under X-ray, DHS internal fixation in the treatment of intertrochanteric fracture of the femur, and has the advantages of simple operation, short operation time, small incision, less trauma, DHS fixation strength, quick healing of the fracture, patients with early functional exercise, joint function recovery fast, faster recovery, less complications and other characteristics.