摘要
目的探讨在基层医院采用动力髋螺钉（Dynamic hip screw,DHS）治疗股骨转子间骨折的效果和可行性。方法 2003年1月~2010年3月,采用切开复位DHS固定治疗股骨转子间骨折21例,其中男14例,女7例,年龄49~89岁;按Evans分类,Ⅰ型6例,Ⅱ型10例,Ⅲ型3例,Ⅳ型1例,Ⅴ型1例;受伤距手术时间2~10d;均为闭合性骨折。结果 21例均痊愈出院,随访8个月~7年,优良率100%。结论正确的选择病例,在基层医院无C臂机的情况下使用DHS治疗股骨转子间骨折是一种经济适用的理想方法。
Objective To observe the clinical effect of DHS in treatment of intertrochanteric femur fractures.Methods From January 2003 to March 2009,21 patients aged from 49 to 89 years old with close intertrochanteric femur fractures were treated by DHS.This group contained 14 men and 7 women.According to Evans classification,there were 6 patients with type Ⅰ fractures,10 with type Ⅱ fractures,3 with type Ⅲ fractures,1 with type Ⅳ fractures and 1 with type V fractures in group.All patients accepted the operations in 2 to 10 days after fractures.Results All patients were followed up for 8 months-7 years,and cured well.Conclusion DHS is a perfect choice for treating intertroehanteric femur fractures in primary hospital without C-arm fluoroscopy.
出处
《中外医学研究》
2011年第4期8-9,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
