应用动力髋部螺钉加拉力螺钉治疗股骨粗隆间骨折

Treatment of intertrochanteric fractures with dynamic hip screw and cannulated screws

目的根据股骨粗隆部骨折移位特点,探索动力髋部螺钉加拉力螺钉在股骨粗隆间骨折的应用价值。方法采用在动力髋部螺钉上方加1～2枚拉力螺钉的方法治疗股骨粗隆部骨折23例,对20例随访资料完整者分析并评定疗效。结果所有病例均骨性愈合,关节优良率90%。结论动力髋部螺钉加拉力螺钉治疗股骨粗隆部骨折操作简单,易达解剖复位,固定牢靠,抗旋转作用强。

Objective To discuss the application value of DHS and cannulated screws in treatment of the intertrochanteric fractures . Methods 23 cases of intertrochanteric fractures were treated with DHS and cannulated screws and 20 cases were followed up for an average period of 12 months. Results All the fractures healed . The recovery of function was excellent in 90%cases. Conclusions Using DHS and cannulated screws to treat the intertrochantenic fractures easily leads to anatomical reduction and rigid fixation, and gives large definitive rotational stability.