自制定位模版行小切口DHS治疗老年股骨粗隆间骨折的疗效分析

The Clinical Efficacy of Femoral Intertrochanteric Fractures in Old People with Small Incision DHS by Using Homemade Positioning Template

目的：探讨自制定位模版改良传统动力髋螺钉（DHS）手术方式治疗老年股骨粗隆间骨折的疗效。方法：选取2012年9—12月行手术治疗的股骨粗隆间骨折老年患者8例，记录其手术切口长度、手术时间、术中出血量、住院天数。结果：8例患者均顺利完成手术，平均伤口长度4cm（3．8-4．4cm），平均手术时间131min（120-153min），包括通过牵引床牵引及闭合复位时间），平均术中出血105ml（80～120ml），平均住院时间12a（8～17d）。所有患者围手术期均未出现严重并发症，术后患肢活动情况良好。结论：自制定位模版改良了传统DHS手术方式，可缩小伤口，减少手术创伤，达到微创的目的。

Objective： To explore the clinical efficacy of modifying the traditional operation method with the homemade positioning template in the treatment of femoral intertrochanteric fractures in old people.Method： Eight cases with femoral intertrochanteric fractures from September 2012 to December 2012 were included in this study.The indicators were recorded, includes the length of operation incision, the operation time, the volume of blood loss and the hospitalization time.Result： Operation were performed successfully in eight patients.The average length of incisions was 4 cm（from 3.8 to 4.4 cm）.The average operation time was 131 min（from 120 to 153 min, including traction and closed reduction）.The average volume of blood loss was 105 ml（from 80 to 120 ml）.The average hospitalization time was 12 d（from 8 to 17 d）.There were no serious complications occurred during perioperative times, and the limb activity was good.Conclusion： Homemade positioning template can improve the surgical procedures of traditional DHS.It can reduce the length of incisions and surgical trauma, and achieve the purpose of minimally invasive.