CAJ | 학술논문

目的比较三种髓外内固定方法治疗老年股骨粗隆间骨折的疗效.方法对96例接受髓外内固定方法治疗的老年股骨粗隆间骨折患者的临床资料进行回顾性分析,96例中36例采用动力髋螺钉(DHS组),28例采用对侧股骨远端锁定钢板(DF-LCP组),32例采用股骨近端解剖型锁定钢板(PF-LCP组).比较三组手术时间、手术出血量、术后卧床时间、骨折愈合时间、髋关节功能评分及并发症情况.结果 DHS组的手术时间、手术出血量多于其他两组(P＜0.05),而DF-LCP组与PF-LCP组比较差异无统计学意义.术后卧床时间DHS组相对较短,而三组总体比较差异无统计学意义.髋内翻等并发症的发生率,DHS组、DF-LCP组和PF-LCP比较差异有统计学意义(P＜0.05).三组间骨折愈合时间、髋关节功能恢复情况比较差异无统计学意义.结论三种内固定方法均是治疗老年股骨粗隆间骨折的有效方法,以股骨近端解剖型锁定钢板最佳,PF-LCP具有手术时间短、出血少、并发症少等优势.
목적 비교삼충수외내고정방법치료노년고골조륭간골절적료효.방법 대96례접수수외내고정방법치료적노년고골조륭간골절환자적림상자료진행회고성분석,96례중36례채용동력관라정(DHS조),28례채용대측고골원단쇄정강판(DF-LCP조),32례채용고골근단해부형쇄정강판(PF-LCP조).비교삼조수술시간、수술출혈량、술후와상시간、골절유합시간、관관절공능평분급병발증정황.결과 DHS조적수술시간、수술출혈량다우기타량조(P＜0.05),이DF-LCP조여PF-LCP조비교차이무통계학의의.술후와상시간DHS조상대교단,이삼조총체비교차이무통계학의의.관내번등병발증적발생솔,DHS조、DF-LCP조화PF-LCP비교차이유통계학의의(P＜0.05).삼조간골절유합시간、관관절공능회복정황비교차이무통계학의의.결론 삼충내고정방법균시치료노년고골조륭간골절적유효방법,이고골근단해부형쇄정강판최가,PF-LCP구유수술시간단、출혈소、병발증소등우세.
Objective To compare the effects of surgical treatment with three kinds of internal fixation methods on senile intertrochanteric fracture.Methods The clinical data of 96 cases of senile intertrochanteric fracture admitted from March 2006 to October 2010 were reviewed retrospectively.Proximal femoral fixation with dynamic hip screw(group DHS)in 36 cases,distal femoral locking plate (group DF-LCP) in 28 cases and proximal femoral locking plate(group PF-LCP) in 32 cases.Perioperaive indexes of patients were statistically analyzed,including operative time,blood loss,healing time of fracture,the function evaluation and cemplications.Results The reduced operative time andblood loss were higher in DHS group,compared with other two groups,there was no significant difference in healing time of fracture and the function evaluation between the three groups.Group PF-LCP had fewer complications compared with the other groups.Conclusions The three internal pxation methods are all effective methods for senile intertrochanteric fracture,and PF-LCP is the best internal fixation method.It has advantages of shorter operative time,less blood loss,fewer complications and so on.