摘要
目的比较双极人工股骨头置换、动力髋螺钉、解剖型钢板固定治疗老年股骨粗隆间骨折的临床疗效。方法回顾性分析60例老年股骨粗隆间骨折的临床资料,其中20例采用双极人工股骨头置换(ABFH)治疗,20例采用动力髋螺钉治疗,20例采用解剖型钢板固定。纳入的3组患者一般资料比较无差异,有可比性。比较3组患者的术中和术后情况。结果 3种手术方法中,ABFH组下地活动时间显著短于另外两组(P<0.01)。3组近期和远期并发症发生情况比较,差异无统计学意义(P>0.05)。ABFH组Harris评分显著高于其他两组(P<0.05)。结论老年股骨粗隆间骨折的治疗,应根据情况,积极进行手术治疗,而手术方式的选择应根据患者的年龄、骨折情况、全身情况以及经济等综合考虑。
] Objective To compare effect of artificial thigh bone replacement, dynamic hip screw, anatomic plate in treatment of femoral intertrochanteric fracture. Methods Retrospectively analyzed clinical data of 60 cases. 20 cases were treated by artificial thigh bone replacement, 20 eases were treated by dynamic hip screw, and 20 cases were treated by anatomic plate. Operative and post-operative data of three groups were compared. Results Activity time of ABFH group was shorter than other two groups （P〈0.01）. Complications of three groups had no significant difference （P〉0.05）. Harris score of ABFH group was higher than other two gronps（P〈0.05）. Conclusion Femoral intertrochanteric fracture should be treated by operation positively. But choosing operation methods should according to age, fracture tape, general condition, economy.
出处
《中国现代医药杂志》
2013年第3期40-43,共4页
Modern Medicine Journal of China
关键词
股骨粗隆间骨折
人工股骨头置换
动力髋螺钉
解剖型钢板
Femoral intertrochanteric fracture Artificial thigh bone replacement Dynamic hip screw Anatomic plate
