摘要
目的:探讨三种不同手术治疗股骨粗隆间骨折的疗效及内固定方式选择。方法:回顾性分析2003年～2007年我院骨科收治的获得随访的股骨粗隆间骨折患者107例。骨折类型根据Evans分型:一类骨折Ⅰ型12例,Ⅱ型29例,Ⅲ型34例,Ⅳ型26例,二类骨折(R型)6例。其中DHS治疗组36例,Gamma钉治疗组43例,股骨近端解剖钢板治疗组28例。结果:术后随访1～4年,平均2.8年,根据Harris髋关节功能判定标准,优良率86.9%。结论:根据患者全身情况及股骨粗隆间骨折分型,严格选择不同手术方法,常能取得较好的效果。
Objective： To investigate the effects and the chosen of 3 different kinds of internal fixations in the treatment of the femoral intertrochanteric fractures. Methods： 107 cases with the femoral intertrochanteric fractures treated surgerically from 2003 to 2007 were followed. According to the Evans classification： Ⅰ （12 cases）, Ⅱ （29 cases）,Ⅲ （34 cases）,Ⅳ （26 cases）, R（6 cases）. They were treated with the followed 3 kinds of operations respectively ： dynamic hip screw（36 cases）, Gammal nail （43 cases）, anatomical proximal femur bone plate （28 cases）. Results： the good and excellent rate of the hip joint functional outcome was 86.9%according to Harris hip joint function standard. Conclusions： Chosing different kinds of internal fixations according the classification and the condition of the patients, the operative treatment of the femoral intertrochanteric fractures turn out to be a good manipulation.
出处
《现代生物医学进展》
CAS
2009年第2期284-286,共3页
Progress in Modern Biomedicine
关键词
股骨粗隆间骨折
手术治疗
内固定
the femoral intertrochanteric fractures
surgical treatment
internal fixations
