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人工股骨头置换与防旋髓内固定治疗老年股骨转子间骨折的疗效分析

刘敏强 谢敏 毛吉刚 何大川 徐晓杰

中国社区医师Issue(13):49-50,2.
中国社区医师Issue(13):49-50,2.DOI:10.3969/j.issn.1007-614x.2015.13.30

人工股骨头置换与防旋髓内固定治疗老年股骨转子间骨折的疗效分析

Curative effect analysis of artificial femoral head replacement and anti rotation intramedullary fixation in treatment of intertrochanteric fracture of femur in the elderly

刘敏强 1谢敏 1毛吉刚 1何大川 1徐晓杰1

作者信息

  • 1. 414000湖南省岳阳市八字门沿湖建筑公司
  • 折叠

摘要

Abstract

Objective:To investigate the curative effect analysis of artificial femoral head replacement and anti rotation intramedullary fixation in treatment of intertrochanteric fracture of femur in the elderly.Methods: 146 elderly patients with femoral intertrochanteric fractures were selected from January 2009 to December 2012.The were divided into the intramedullary fixation group of 69 patients and the artificial femoral head replacement group with 77 patients according to the operation method.We compared the intraoperative,postoperative complications,restoration of the two groups patients.Results:The effect of the two groups were satisfied;the length of incision,operation time,the amount of intraoperative bleeding of the intramedullary fixation group were better than those of the artificial femoral head replacement group;the hospitalization time,hip function score,the rate of complications of the artificial femoral head replacement group were better than those of the intramedullary fixation group. Conclusion:Two kinds of operation methods can be treated the fracture of femur in the elderly effectively.For patients with good physical condition,bone is stable.We can choose a preferred intramedullary fixation;for elderly patients with severe osteoporosis, and we can choose artificial joint replacement first.

关键词

髓内固定/人工股骨头置换/老年/股骨转子间骨折

Key words

Intramedullary fixation/Artificial femoral head replacement/The elderly/Femoral intertrochanteric fracture

引用本文复制引用

刘敏强,谢敏,毛吉刚,何大川,徐晓杰..人工股骨头置换与防旋髓内固定治疗老年股骨转子间骨折的疗效分析[J].中国社区医师,2015,(13):49-50,2.

中国社区医师

1007-614X

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