无头加压空心钉经皮微创治疗Evans-Jensen Ⅰ、Ⅱ型股骨转子间骨折

The headless compression cannulated screw percutaneous minimally invasive treatment of Evans- Jensen Ⅰ and Ⅱ of intertrochanteric fracture

目的探讨无头加压空心钉经皮微创治疗Evans-Jensen I、II型股骨转子间骨折的手术方法和临床疗效。方法 2012年3月～2014年6月,无头加压空心钉经皮微创治疗Evans-Jensen I、II型股骨转子间骨折19例。其中男6例,女13例;年龄63～86岁,平均71.79岁。按Evans-Jensen标准分型并根据改良Harris标准进行疗效评定。结果随访时间为6～18个月（平均12.15个月）,其中两人分别于术后6个月因急性心梗和11个月肺心病死亡,其余17例均获骨性愈合。末次随访时Harris平均评分（67～95分）,其中优14例,良2例,尚可1,差1例,优良率88.89%。结论无头加压空心钉经皮微创治疗Evans-Jensen I、II型股骨转子间骨折具有微创、固定可靠、骨折愈合率高等优点,允许早期髋关节不负重条件下功能锻炼从而获得理想治疗效果。

[Objective]Discuss the headless compression cannulated screw percutaneous minimally invasive treatment of Evans- Jensen I, type II of intertrochanteric fracture of surgical method and clinical curative effect.[Methods]In March 2012 to June 2014, headless compression cannulated screw percutaneous minimally invasive treatment of Evans- Jensen I, type II 19 cases of intertrochanteric fracture. 6 cases of male, female 13 cases;63～86 years old, average 71.79 years. According to the Evans- Jensen norm and curative effect evaluation according to the improved Harris standard.[Results]Follow-up time is 6～18 months（mean 12.15 months）, two of them respectively in the six months after death from acute myocardial infarction（ami） and 11 months of cor pulmonale, the rest of 17 cases of bony healing. Harris, the average score at the time of the last follow-up（67～95）, including 14 cases of optimal good in 2 cases, fair 1, poor in 1 case, was 88.89%.[Conclusion]Headless compression cannulated screw percutaneous minimally invasive treatment of Evans- Jensen I, type II intertrochanteric fractures with minimally invasive, reliable fixation, high rate of fracture healing, allowing early hip not functional exercise load conditions to obtain ideal therapeutic effect.