昆明医科大学学报2013，Vol.34Issue(4)：118-121,4.
老年股骨粗隆间骨折不同内固定手术疗效分析
The Effect of Different Ways of Internal Fixation in Treatment of Elderly Patients with Femoral Intertrochanteric Fracture
陆晓涛 1侯开宇 1张伟 1李勇刚1
作者信息
- 1. 云南省第二人民医院骨科,云南昆明 650021
- 折叠
摘要
Abstract
Objective To explore the effect of the different ways of internal fixation in treatment of elderly patients with femur intertrochanteric fractures.Methods 179 elderly femur intertrochanteric fractures patients were retrospectively analyzed from January 2005 to December 2012.The patients were divided into four groups and given four different operations of internal fixation by using dynamic hip screw Gamma screw proximal femoral nail and proximal femoral nail respectively.The operative time blood loss fracture healing time postoperative joint function recovery postoperative complications were compared among the four groups.Results 179 patients were followed up for 21 days to 6 years with an average of 34 months.The healing time of the group of PFNA is shorter than the other groups but there was no statistically significant difference.The postoperative complications of Coxa vara were found in two cases and one case for the group of DHS and the group of Gamma respectively.And there all had one case of brad cutting for the group of DHS the group of Gamma and the group of PFN.However there was no complication in the group of PFNA the difference was statistically significant (P ＜ 0.05) Conclusions Four internal fixation operations have advantages and disadvantages and should be reasonably choosed based on the patient's condition before surgery underlying diseases type of fracture and its associated injury.However the fracture healing time of the group of PFNA is shorter than the other groups and has better effect so PFNA should be used in treatment of elderly femur intertrochanteric fractures as well as possible.关键词
老年人/股骨粗隆间骨折/骨折/内固定术/疗效Key words
The elderly/ Intertrochanteric fractures / Fracture/ Internal fixation/ Effect分类
医药卫生引用本文复制引用
陆晓涛,侯开宇,张伟,李勇刚..老年股骨粗隆间骨折不同内固定手术疗效分析[J].昆明医科大学学报,2013,34(4):118-121,4.
