摘要
股骨转子间骨折在髋关节骨折中的占比达到了50%,其中不稳定骨折的比例在35%~40%。由于老年人身体状态的特殊性,不稳定型骨折的比例更高。临床多采用髓内固定、髓外固定等骨折固定手术治疗股骨转子间骨折。目前对于稳定型股骨转子骨折的手术内固定治疗已趋于成熟,但对于老年不稳定型股骨转子间骨折患者,复位的难度高,加上普遍存在骨质疏松的情况,内固定治疗失败的概率相对较高,因此其治疗方法和效果之间存在不同的争议。如何为老年不稳定型股骨转子间骨折患者提供坚强稳定而持久的固定,成为临床关注的重点和难点所在。本次研究参考了国内外目前老年不稳定型股骨转子间骨折患者治疗的相关文献,对该类型患者的治疗研究进展进行了综述。
Intertrochanteric fractures account for 50%of hip fractures,and the proportion of unstable fractures is about 35%~40%.Due to the particularity of the physical state of the elderly,the proportion of unstable fracture is higher.Intramedullary fixation and extramedullary fixation are commonly adopted to treat intertrochanteric fractures.Surgical internal fixation treatment for stable intertrochanteric fractures has been increasingly mature,but for the elderly patients with unstable intertrochanteric fractures,owing to the difficulty of the reset,coupled with widespread osteoporosis,the failure rate of internal fixation treatment is relatively high,so there are different disputes among treatment methods and effects.How to provide strong,stable and lasting fixation for the elderly patients with unstable intertrochanteric fractures has become important difficulty of clinical attention.This study referred to the literatures on the treatment of elderly patients with unstable intertrochanteric fractures both at home and abroad,and reviewed the progress in the treatment of these patients.
出处
《中国疗养医学》
2020年第4期354-357,共4页
Chinese Journal of Convalescent Medicine
