中国伤残医学Issue(12)：4-5,6,3.
DHS内固定治疗股骨转子间骨折相关并发症临床分析
Clinical Analysis of Postoperative Femeral Neck Nail Cutting-out after Treatment of Femeral Intertrochanteric Fractures with Dynamic Hip Screw
徐华中 1施克勤 1朱国兴 1钱科军 1钱明权1
作者信息
- 1. 无锡市第二人民医院骨科,江苏 无锡 214000
- 折叠
摘要
Abstract
Objective:To analyze cause for postoperative femeral neck nail cutting-out after treatment of femeral intertrochanteric fractures with DHS plate(DHS).Methods: An retrospective study was done on 122 patients with intertrochanteric fractures treated with DHS plate from June 2006 to June 2010. The cause for postoperative femeral neck nail cutting-out were analyzed. Harris score was used to evaluate the functional recovery of the hip joint.Results: Of all,122 patients were followed up for 12-30 months(mean 22 months).According to Harris evaluation system ,the results were excellent and good in 98 patients,fair in 18 and poor in 6.Postoperative femeral neck nail cutting-out in 10 patients,two of whom received reoperration to translate bone ,two of whom received reopertion to fix with DHS plate and to translate bone;two of them received clinical observation whitout receiving reoperation, and other four patients received prosthetic replacement. Conclusion: Treatment of femeral intertrochanteric fractures with DHS plate requires good reduction and fixation of the fractures .Many factors including cortical bone conditions of little trochanter,postoperative patients cognitive condition,use of improved Iensen-Evans classification and Singh’s classification may affect operation outcome.关键词
股骨转子间骨折/骨质疏松/动力髋螺钉Key words
Femeral intertrochanteric fractures/Osteoporosis/Dynamic hip screw分类
医药卫生引用本文复制引用
徐华中,施克勤,朱国兴,钱科军,钱明权..DHS内固定治疗股骨转子间骨折相关并发症临床分析[J].中国伤残医学,2012,(12):4-5,6,3.
