医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2013年
4期
74-75
,共2页
胡万成%莫令翔%张永亮%吕杰%王建江%张阳彬%赵宇来
鬍萬成%莫令翔%張永亮%呂傑%王建江%張暘彬%趙宇來
호만성%막령상%장영량%려걸%왕건강%장양빈%조우래
股骨骨折%股骨近端髓内钉%内固定
股骨骨摺%股骨近耑髓內釘%內固定
고골골절%고골근단수내정%내고정
Femoral fracture%Proximal femoral nail%Internal fixation
目的探讨股骨近端防旋髓内钉治疗老年股骨转子间骨折的临床疗效.方法2008年1月-2011年12月对23例老年股骨转子间骨折患者采用股骨近端防旋髓内钉治疗,对其骨折类型、合并症,骨折愈合情况和术后髋关节功能进行分析.结果随访1~3.5年,平均1.9年.骨折平均愈合时间为4.1个月,骨折全部愈合.髋关节功能优良19例,占82.6%.结论股骨近端防旋髓内钉治疗老年股骨转子间骨折具有创伤小、固定牢靠、手术时间短的优点,是治疗老年股骨转子间骨折的良好选择.
目的探討股骨近耑防鏇髓內釘治療老年股骨轉子間骨摺的臨床療效.方法2008年1月-2011年12月對23例老年股骨轉子間骨摺患者採用股骨近耑防鏇髓內釘治療,對其骨摺類型、閤併癥,骨摺愈閤情況和術後髖關節功能進行分析.結果隨訪1~3.5年,平均1.9年.骨摺平均愈閤時間為4.1箇月,骨摺全部愈閤.髖關節功能優良19例,佔82.6%.結論股骨近耑防鏇髓內釘治療老年股骨轉子間骨摺具有創傷小、固定牢靠、手術時間短的優點,是治療老年股骨轉子間骨摺的良好選擇.
목적탐토고골근단방선수내정치료노년고골전자간골절적림상료효.방법2008년1월-2011년12월대23례노년고골전자간골절환자채용고골근단방선수내정치료,대기골절류형、합병증,골절유합정황화술후관관절공능진행분석.결과수방1~3.5년,평균1.9년.골절평균유합시간위4.1개월,골절전부유합.관관절공능우량19례,점82.6%.결론고골근단방선수내정치료노년고골전자간골절구유창상소、고정뢰고、수술시간단적우점,시치료노년고골전자간골절적량호선택.
Objective To evaluate the therapeutic effectiveness of proximal femoral mail anti-rotation for intertrochanteric fractures in elderly. Methods Twenty—three patients over 70 years with intertrochanteric fractures were treated with proximal femoral nail anti-rotation in our hospital from January 2008 to December 2011.The fracture types,associated diseases,fracture healing and postoerative Harris hip scores clinical effect were analyzed.Results Al cases were folowed up clinicalyand radiograghicaly from 1 to 3.5 yeals with an average 1.9 yeals.The mean duration of bone union was 4.1 months,According to Harris scoring,the excelent and good function rate of hip joint was 82.6%.Conclusion proximal femoral nail anti-rotation in the treatment of the elderly inertrochanteric fractures reveals less trauma、reliable fixation and short operation time. It is a good choice for the treatnent of femoral intertrochanteric fractures in elderly.