摘要
目的总结股骨动力髁螺钉（DCS）治疗复杂性股骨粗隆下骨折的实践经验，以期提高该型骨折的治疗效果，减少并发症。方法2003年7月-2011年3月共收治股骨粗隆下复杂性骨折37例；Sein—sheimer分类：Ⅳ型28例，Ⅴ型中大粗隆相对完整9例，共37例应用DCS治疗。结果37例病人均获得术后9个月-3年的随访，满意率97．30％，2例髋关节屈曲功能与健侧相比丢失15°-25°，无髋内翻、髋外翻病例发生。Harris评分：优33例，良2例，差2例；优良率为94．60％。结论DCS不失为复杂性股骨粗隆下骨折治疗方法的一种选择，只要技术操作得当，其治疗效果可靠，且价格低廉。
Objective To discuss the practical experience in treating complicated femoral subtrochanteric fracture by dynamic condylar screw （ DCS ） , so as to improve the curative effect of this type fracture and to reduce complication. Methods There were 37 cases of complicated subtrochanteric fractures from the year 2003 to 2011. According to the Seinsheimer classification,there were 28 cases of type Ⅳ ,9 cases of type Ⅴ. Dynamic condylar screw fixation was conducted in all the 37 cases. Results All the 37 cases were followed up for 9 months-3 years with the satisfaction rate of being 97.30%. The flexion of hip joint lose 15°-25°in 2 cases compared with the unin- jured side. No hip varus or hip vaigus was observed. Harris scoring system showed excellent in 33 cases, good in 2 cases and poor in 2 cases, with the excellent and good rate of being 94. 60%. Conclusion Dynamic condylar screw is a good treatment method for treating femoral subtrochanteric fracture. Good technical operation can achieve reliable curative effect and low cost.
出处
《创伤外科杂志》
2013年第6期510-512,共3页
Journal of Traumatic Surgery
关键词
股骨粗隆下骨折
动力髁螺钉
治疗
femoral subtrochanteric fracture
dynamic condylar screw
treatment
