CAJ | 학술논문

目的观察动力髋系统固定治疗老年骨质疏松性股骨粗隆间骨折的疗效.方法对骨质疏松性股骨粗隆间骨折的老年患者66例,采用微创闭合复位和服用抗骨质疏松药物,术后随访疗效及并发症.结果随访13.5个月(6～18个月),全部病例均于3～4个月内获骨性愈合.随访中Harris评分优34例,良22例,髋关节功能恢复优良率100%.无骨折不愈合、内固定失败或松动、交锁钉切割股骨颈及严重神经、血管损伤.结论动力髋系统固定治疗老年人骨质疏松性股骨粗隆间骨折疗效确切,是简便、微创、功能影响小、力学稳定性好的手术方法.
목적 관찰동력관계통고정치료노년골질소송성고골조륭간골절적료효.방법 대골질소송성고골조륭간골절적노년환자66례,채용미창폐합복위화복용항골질소송약물,술후수방료효급병발증.결과 수방13.5개월(6～18개월),전부병례균우3～4개월내획골성유합.수방중Harris평분우34례,량22례,관관절공능회복우량솔100%.무골절불유합、내고정실패혹송동、교쇄정절할고골경급엄중신경、혈관손상.결론 동력관계통고정치료노년인골질소송성고골조륭간골절료효학절,시간편、미창、공능영향소、역학은정성호적수술방법.
Objective To observe the clinical effect and follow-up outcome of the osteoporotic femoral intertrochanteric fractures after treatment with DHS in the elderly. Methods Sixty-six cases with OFIF were treated with open reduction and percutaneons insertion of DHS during February 2003 to April 2007. All patients took the microclosed reduction and anti-osteoporotic medicines during the treatment and they were followed up for outcome and complications. Results All patients were followed up for a mean duration of 13.5 (6～18) months, the average fracture healing time was 3～4 months. Harris scores excellent was 34 cases and good was 22 cases. The excellent and good rate of osteoporosis was 100%. No non-union mechanical fixation failure, bone cut out or severe nerve and vessel injury was noticed. Percutaneous insertion of DHS is effective in treatment of osteoporotic intertrochanteric fractures in the elderly. Conclusion The surgical principles include use of simple, effective and safe method, less functional influence and good mechanic fixation, which can reduce the complications and promote early recovery.