摘要
目的使用微创DHS内固定技术治疗股骨粗隆间骨折,以减少手术所造成的创伤反应。方法我科自2003年9月—2006年5月DHS内固定治疗的78例股骨粗隆间骨折,其中36例采用微创经皮小切口置入内固定物,42例采用常规切口置入内固定物。结果围手术期死亡2例(均为常规切口组),其余患者均顺利出院,获10～16月随访,平均12.3个月。1例在随访期间死于其他内科疾病,其余所有骨折均愈合,平均愈合时间为3.2个月。微创组失血少,患肢肿胀轻,消肿快,体温下降至正常快,DHS恢复快,卧床时间短。结论采用微创经皮小切口技术植入DHS内固定治疗股骨粗隆间骨折手术创伤小,有利于患者全身状况和肢体功能的恢复。
Objective Treatment of the intertrochanteric fracture by minimally injure internal fixation with DHS, the purpose of which was to reduce operative trauma. Methods To analyse retrospectively 78 cases of the intertrochanterie fracture patients treated with DHS, these patients treated in our department from September 2003 to May 2006. Minitraumatic technic was used in 36 out of 78 cases, general technique of the fixation was used in the other. Results All patients successfully discharged except one cases died because of fungal septicemia. 76 cases were followed up from 10 to 16 months （ averaging 12. 3 months） . All the fractures were successful union, union time in average was 3.2 months, the difference between minitraumatie group and general group was not distinguished. Quantity of recessive blood loss was little in minitraumatic group, recovery of ESR was quick, detumescence of the thigh was quick, time in bed was short. Conclusion Technique of minimal invasive fixation with DHS was little trauma and quick functional recovery for patients, therefore, this technique should be better for treatment of intertrochanteric fracture in elderly patients.
出处
《广州医药》
2009年第4期5-7,共3页
Guangzhou Medical Journal
关键词
粗隆间骨折
微创
动力髋部螺钉
Intertrochanteric fracture
Minitraumatic technique
Dynamic hip screw
