股骨粗隆间骨折两种手术方法治疗分析

Treatment analysis of the two surgical methods of intertrochanteric fracture

目的:评价动力髋螺钉和股骨近端髓内钉两种手术方法治疗股骨粗隆间骨折的疗效。方法:回顾性分析我院于2006年1月～2008年10月收治的股骨粗隆间骨折患者97例,其中应用动力髋螺钉治疗61例,股骨近端髓内钉治疗36例。结果:97例均临床愈合,关节被动活动基本正常。全部病例均获得随访,平均随访时间为2年,未发现DHS滑动钉或PFN股骨颈螺钉穿破股骨头及钢板、髓内钉断裂。优60例,良29例,差8例,优良率91.8%。结论:两种手术方法治疗股骨粗隆间骨折,都能有效地减少并发症,尽快恢复功能,疗效满意。但两种手术方法各有优势,要根据患者年龄、骨折类型、骨质疏松程度、手术耐受情况等合理选择手术方式,才能取得良好疗效。

Objective:To evaluate the effect of the dynamic hip screw and proximal femoral nail in two surgical treatment of femoral intertrochanteric fractures.Methods:A retrospective study in our hospital from January 2006 to October 2008 were treated with intertrochanteric fracture of 97 cases of patients,including the application of dynamic hip screw for the treatment of 61 cases,proximal femoral nail for the treatment of 36 cases. Results:97 cases of clinical healing,joint normal passive activities.All patients were followed up for an average time of 2 years,DHS did not find nails or sliding screw PFN perforation of the femoral head and the neck plate,intramedullary nail fracture.60 cases of excellent,good in 29 cases,eight cases of poor,good rate was 91.8%.Conclusion:Two surgical treatments for intertrochanteric fracture,can be effective in reducing complications,as soon as possible to restore function,satisfaction with the efficacy.However,the two surgical meth-ods have advantages,according to patient age,fracture type,degree of osteoporosis,surgical tolerance surgery a reasonable choice,etc. can achieve good effect.