摘要
目的总结闭合复位动力髋螺钉（dynamic hip screw,DHS）内固定治疗股骨转子间骨折的疗效。方法股骨转子间骨折患者66例,均行闭合复位,DHS内固定,术后进行康复训练。结果均顺利完成手术。围术期并发症7例：心功能衰竭4例,肺部感染及呼吸衰竭2例,褥疮1例。1例因糖尿病合并肺部感染、呼吸衰竭而死亡。55例获随访,平均6（3-12）个月。疗效评价：优33例,良16例,可4例,差2例;优良率89.1%。复位不良及内固定失败4例。结论闭合复位DHS内固定治疗股骨转子间骨折安全、有效;术后合理有效的康复训练有助于骨折愈合。
Objective To summarize the effect of closed reduction and dynamic hip screw （DHS） fixation for femoral intertrochanteric fracture. Method 66 cases of intertrochanteric fracture were performed closed reduction, internal fixation with DHS, and post-operative rehabilitation training. Results The operation was successfully completed in all the 66 cases. Perioperative complication occurred in 7 cases, including 4 of cardiac functional failure, 2 of pulmonary infection and respiratory failure, and 1 of bedsore. One diabetes patient died of pulmonary infection and respiratory failure. Fifty-five patients were followed up for 3 to 12 months （average 6 months）. The effect evaluation revealed excellent in 33, good in 16, fair in 4, false in 2, and the fineness rate was 89.1%. There were malreduction and internal fixation failure in 4 cases. Conclusions Closed reduction and internal fixation with DHS is safe and effective for treatment of femoral intertrochanteric fracture. Appropriate and effective rehabilitation training can facilitate the union of fracture.
出处
《中国现代手术学杂志》
2008年第5期366-367,共2页
Chinese Journal of Modern Operative Surgery
关键词
髋骨折
骨钉
骨折固定术
hip fractues
bone nails
fracture fixation
