临床骨科杂志Issue(2)：158-160,3.DOI:10.3969/j.issn.1008-0287.2014.02.017
4种内固定治疗股骨转子间骨折的疗效比较
The efficacy comparison of four kinds of internal fixation methods for treatment of femoral intertrochanteric fractures
夏良平 1柳惠江 1林佩达 1林岳平 1乐富军2
作者信息
- 1. 舟山市普陀区人民医院骨科，浙江 舟山 316100
- 2. 浙江海洋学院医学院继教中心，浙江 定海 316000
- 折叠
摘要
Abstract
Objective To explore the clinical efficacy of four kinds of internal fixation methods cannulated compres-sion screw,dynamic hip screw(DHS),Gamma nail,and proximal femoral anti-rotation nail(PFNA)for the treat-ment of femoral intertrochanteric fractures.Methods 83 patients of femoral intertrochanteric fractures were divided into 4 groups according to the operation method.The efficacy of operation of the 4 groups treated with cannulated compression screw(n=20),DHS(n=16),Gamma nail(n=14),and PFNA(n=33)was compared.Results 83 cases were all followed up for 7~48 months.There were no statistical significant difference in the efficacy of the 4 groups(P>0.05 ).The length of incision,operation time,intraoperative blood loss of the group of DHS were longer or larger than the other groups(P<0.01).There were no statistical significant difference between the groups of can-nulated compression screw and the group of Gamma nail,and PFNA(P>0.05 ).DHS group had higer complication rates(P<0.01 ).No difference was found in cannulated compression screw,Gamma nail and PFNA groups(P>0.05 ).There were no statistical significant difference in the complications of the other 3 groups(P>0.05 ).Conclu-sions When treating femoral intertrochanteric fractures with operation,different types of fractures should use differ-ent kinds of internal fixation methods.DHS can cause more intraoperative damage;PFNA is relatively satisfactory.关键词
股骨转子间骨折/空心加压螺钉/动力髋螺钉/Gamma钉/防旋股骨近端髓内钉/骨折固定术,内Key words
femoral intertrochanteric fractures/cannulated compression screw/dynamic hip screw/Gamma nail/proxi-mal femoral anti-rotation nail/fracture fixation,internal分类
医药卫生引用本文复制引用
夏良平,柳惠江,林佩达,林岳平,乐富军..4种内固定治疗股骨转子间骨折的疗效比较[J].临床骨科杂志,2014,(2):158-160,3.
