目的探讨股骨近端解剖型钢板及动力髋螺钉(dynamic hip screw,DHS)治疗股骨转子间及转子下骨折临床疗效。方法自2005年11月～2007年10月采用股骨近端解剖型钢板及DHS治疗股骨转子间及转子下骨析96例,其中股骨转子间骨折65例,转子下骨折3...目的探讨股骨近端解剖型钢板及动力髋螺钉(dynamic hip screw,DHS)治疗股骨转子间及转子下骨折临床疗效。方法自2005年11月～2007年10月采用股骨近端解剖型钢板及DHS治疗股骨转子间及转子下骨析96例,其中股骨转子间骨折65例,转子下骨折31例。采用股骨近端解剖型钢板固定59例,DHS固定37例。结果经11～25个月,平均17.6个月随访,骨折均愈合,髋关节功能根据Harris评分标准进行评定,优63例,良27例。结论股骨近端解剖型钢板及DHS治疗股骨转子间及转子下骨折能达到良好复位和坚强固定,可早期功能锻炼。展开更多
股骨粗隆间骨折多见于老年人，而且随着人口老龄化，这一骨折发病率还在不断提高，治疗上以手术内固定为最佳方案。该病治疗的主要目的是降低死亡率，减少髋内翻的发生率。在治疗上，手术内固定的成功在很大程度上取决于骨折稳定性的恢...股骨粗隆间骨折多见于老年人，而且随着人口老龄化，这一骨折发病率还在不断提高，治疗上以手术内固定为最佳方案。该病治疗的主要目的是降低死亡率，减少髋内翻的发生率。在治疗上，手术内固定的成功在很大程度上取决于骨折稳定性的恢复并维持骨折稳定直至愈合。动力髋螺钉（dynamic hip screw，DHS）是近年来较好的一种选择，但其公认的缺点是抗旋转能力差，固定时因偏心固定，致使承受的力矩较大．易出现内固定松动、断裂等并发症．特别是在逆粗隆间骨折使用DHS固定时骨折近端向外移、远端向内移，导致骨折端错位。展开更多
Objective： Total hip arthroplasty （THA） and hemiarthroplasty （HA） are effective methods currently used to treat femoral neck fracture in elderly patients, but the two options remain controversial in patients over...Objective： Total hip arthroplasty （THA） and hemiarthroplasty （HA） are effective methods currently used to treat femoral neck fracture in elderly patients, but the two options remain controversial in patients over 70 years old. The main purpose of our study was to determine whether THA or HA is a superior treatment of femoral fractures involving a displaced neck in patients who are over 70 years of age. Methods： A computer-based online search of Medline （1970-2011）, PubMed （1977-2011）, and the Cochrane Cen- tral Register of Controlled Trials （2002-201 l） was conducted. Six relevant randomized controlled trials with a total of 739 patients were included for the final analysis. The analysis was performed with software RevMan 5.0. Results： We found that compared with THA, HA needed shorter average time and lost less blood. While over the long-term follow-up, THA patients exhibited significantly less pain and better function and were less likely to require a revision hip surgery. Postoperative infection was equally common among HA and THA patients. Conclusions： The significant differences in outcomes suggest that THA is a valuable treatment option for active elderly hip fracture individuals. However, patients who are older, impaired or institutionalized benefit from HA.展开更多
文摘目的探讨股骨近端解剖型钢板及动力髋螺钉(dynamic hip screw,DHS)治疗股骨转子间及转子下骨折临床疗效。方法自2005年11月～2007年10月采用股骨近端解剖型钢板及DHS治疗股骨转子间及转子下骨析96例,其中股骨转子间骨折65例,转子下骨折31例。采用股骨近端解剖型钢板固定59例,DHS固定37例。结果经11～25个月,平均17.6个月随访,骨折均愈合,髋关节功能根据Harris评分标准进行评定,优63例,良27例。结论股骨近端解剖型钢板及DHS治疗股骨转子间及转子下骨折能达到良好复位和坚强固定,可早期功能锻炼。
文摘股骨粗隆间骨折多见于老年人，而且随着人口老龄化，这一骨折发病率还在不断提高，治疗上以手术内固定为最佳方案。该病治疗的主要目的是降低死亡率，减少髋内翻的发生率。在治疗上，手术内固定的成功在很大程度上取决于骨折稳定性的恢复并维持骨折稳定直至愈合。动力髋螺钉（dynamic hip screw，DHS）是近年来较好的一种选择，但其公认的缺点是抗旋转能力差，固定时因偏心固定，致使承受的力矩较大．易出现内固定松动、断裂等并发症．特别是在逆粗隆间骨折使用DHS固定时骨折近端向外移、远端向内移，导致骨折端错位。
文摘Objective： Total hip arthroplasty （THA） and hemiarthroplasty （HA） are effective methods currently used to treat femoral neck fracture in elderly patients, but the two options remain controversial in patients over 70 years old. The main purpose of our study was to determine whether THA or HA is a superior treatment of femoral fractures involving a displaced neck in patients who are over 70 years of age. Methods： A computer-based online search of Medline （1970-2011）, PubMed （1977-2011）, and the Cochrane Cen- tral Register of Controlled Trials （2002-201 l） was conducted. Six relevant randomized controlled trials with a total of 739 patients were included for the final analysis. The analysis was performed with software RevMan 5.0. Results： We found that compared with THA, HA needed shorter average time and lost less blood. While over the long-term follow-up, THA patients exhibited significantly less pain and better function and were less likely to require a revision hip surgery. Postoperative infection was equally common among HA and THA patients. Conclusions： The significant differences in outcomes suggest that THA is a valuable treatment option for active elderly hip fracture individuals. However, patients who are older, impaired or institutionalized benefit from HA.
