CAJ | 학술논문

目的探讨动力髋螺钉(DHS)和微创动力髋螺钉(MTDHS)治疗高龄粉碎性股骨转子间骨折的疗效.方法 2006年9月-2009年7月采用MTDHS和DHS分组治疗高龄粉碎性股骨转子问骨折42例.根据Evans分型:MTDHS组Ⅲ型16例,Ⅳ型6例;DHS组Ⅲ型15例,Ⅳ型5例.对手术时间、出血量、住院时间和髋关节功能进行评价.结果 42例患者术后随访9～17个月,平均13个月.髋关节功能按Harris评分标准进行评定:DHS组20例,平均76.4分,MTDHS组22例,平均89.8分.MTDHS组在手术时间、出血量和髋关节优良率方面均显著优于DHS组.结论 MTDHS治疗股骨转子间骨折,手术创伤小,术后髋关节功能恢复好,并发症发生率低,是治疗转子间骨折的较好方法.
목적 탐토동력관라정(DHS)화미창동력관라정(MTDHS)치료고령분쇄성고골전자간골절적료효.방법 2006년9월-2009년7월채용MTDHS화DHS분조치료고령분쇄성고골전자문골절42례.근거Evans분형:MTDHS조Ⅲ형16례,Ⅳ형6례;DHS조Ⅲ형15례,Ⅳ형5례.대수술시간、출혈량、주원시간화관관절공능진행평개.결과 42례환자술후수방9～17개월,평균13개월.관관절공능안Harris평분표준진행평정:DHS조20례,평균76.4분,MTDHS조22례,평균89.8분.MTDHS조재수술시간、출혈량화관관절우량솔방면균현저우우DHS조.결론 MTDHS치료고골전자간골절,수술창상소,술후관관절공능회복호,병발증발생솔저,시치료전자간골절적교호방법.
Objective To discuss the clinical effect of dynamic hip screw(DHS)and microtrauma dynamic hip screw(MTDHS)in treatment of comminuted intertrochanteric femur fractures in the elderly patients.Methods From September 2006 to July 2009,42 patients with comminuted intertrochanteric femur fractures were treated by DHS and MTDHS.According to Evans classification,there were 16 patients with type Ⅲ fractures and six with type Ⅳ fractures in MTDHS group and 15 patients with type Ⅲ fractures and five with type Ⅳ fractures in DHS group.The operation time,amount of bleeding,hospital stay and postoperative hip function were evaluated.Results All patients were followed up for 9-17 months(average 13 months).Harris score was 76.4 points in 20 patients treated by DHS and 89.8 points in 22 patients treated by MTDHS,with better functional restoration,shorter operation time and less amount of bleeding in MTDHS group than DHS group.Conclusions Compared with DHS,MTDHS has advantages of minimal invasion,minor trauma,sound recovery of hip joint function and low incidence of complications and hence is a good choice for treating intertrochanteric femur fractures.