摘要
目的分析动力髋螺钉(DHS)治疗老年股骨转子间骨折术后并发症发生原因,探讨预防措施。方法应用DHS内固定治疗137例老年股骨转子间骨折患者。结果 105例获得随访,时间12～49个月。参照Harris髋关节功能评分标准评价术后功能:优81例,良12例,可7例,差5例,优良率为88.57%。术后发生全身系统并发症13例(其中1例术后3 d死亡),手术局部相关并发症12例。结论 DHS治疗老年股骨转子间骨折术前充分准备、严格规范操作、掌握手术技巧、术后合理用药、正确指导康复锻炼,可有效预防手术并发症。
Objective To analyze the dynamic hip screw(DHS) in the treatment of elderly femoral intertrochanteric fracture complications.Methods DHS internal fixation was used in treatment of 137 cases of elderly femoral intertrochanteric fracture patients.Results 105 patients were followed up for 12-49 months.Reference to the Harris hip function score were evaluated,excellent in 81 cases,good in 12,fair in 7,poor in 5,excellent and good rate of 88.57%.13 cases happened systemic complications postoperative,1 died after 3 days;surgery local complications occurred in 12 cases.Conclusions DHS is an effective way of treating elderly intertrochanteric fracture,fully prepared before surgery,and strictly regulate the operations master surgical techniques,postoperative rational drug use,the correct guidance of the rehabilitation exercises,can be effective in preventing surgical complications.
出处
《临床骨科杂志》
2013年第1期56-58,共3页
Journal of Clinical Orthopaedics
关键词
股骨转子间骨折
动力髋螺钉
术后并发症
老年人
intertrochanteric fracture
dynamic hip screw
postoperative complications
aged
