CAJ | 학술논문

目的探讨三种内固定方法治疗股骨粗隆间骨折的疗效.方法分析采用内固定治疗75例股骨粗隆间骨折患者的临床资料,根据治疗方式不同分为三组,DHS组(采用动力髋螺钉治疗)26例,PFN组(采用股骨近端交锁髓内钉治疗)15例组,LCP组(采用股骨近端解剖型锁定钢板治疗)34例.比较三组骨折愈合时间、并发症及Harris关节功能评分.结果 75例患者随访18～36个月.DHS组有4例出现髋内翻,PFN组l例近端锁定断裂,出现髋内翻,LCP组3例出现髋内翻.三组骨折愈合时间及Harris评分优良率差异均无统计学意义(F=2.25,χ2=0.032,均P＞0.05).结论三种内固定方法治疗股骨粗隆间骨折的临床疗效相近,但各有特点和适应证,应注意根据不同的骨折类型合理选择治疗方法.
목적 탐토삼충내고정방법치료고골조륭간골절적료효.방법 분석채용내고정치료75례고골조륭간골절환자적림상자료,근거치료방식불동분위삼조,DHS조(채용동력관라정치료)26례,PFN조(채용고골근단교쇄수내정치료)15례조,LCP조(채용고골근단해부형쇄정강판치료)34례.비교삼조골절유합시간、병발증급Harris관절공능평분.결과 75례환자수방18～36개월.DHS조유4례출현관내번,PFN조l례근단쇄정단렬,출현관내번,LCP조3례출현관내번.삼조골절유합시간급Harris평분우량솔차이균무통계학의의(F=2.25,χ2=0.032,균P＞0.05).결론 삼충내고정방법치료고골조륭간골절적림상료효상근,단각유특점화괄응증,응주의근거불동적골절류형합리선택치료방법.
Objective To explore the clinical effects of three nail and plate systems in treating femoral intertrochanteric fracture.Methods The clinical data of 75 patients with femoral interochanteric fiactures treated by internal fixation were analyzed.According to different treatment methods,75 patients were divided into three groups:DHS group(treated with dynamic hip screw) 26 cases,PFN group(treated with proximal femoral nail) 15 cases,LCP group (treated with anatomical proximal femoral locking plate) 34 cases.Fracture union time,complications and hip function scores according to Harris's scoring were recorded.Results All patients were followed up for 18 to 36 months.Four patients appeared coax vara in DHS group and one case appeared coax vara in PFN group,three case appeared coax vara in anatomical proximal femoral locking plate (LCP.) There was no significant difference in fracture union time and the excellent and good rate of hip function scores among the three groups (F =2.25,χ2 =0.032,all P ＞ 0.05).Conclusion The effects of three nail and plate systems in treating femoral intertrochanteric fracture is similar,but they have their own characteristics and indications.And the reasonable treatment should be selected according to different fracture types.