中国组织工程研究Issue(31)：4994-4999,6.DOI:10.3969/j.issn.2095-4344.2015.31.014
Gamma钉与锁定钛板修复老年不稳定型股骨转子间骨折：髋关节功能对比
Gamma nailversus locking titanium plate fixation for unstable intertrochanteric fracture in the elderly：hip function
高金伟 1常甲楠 1梁伟之1
作者信息
- 1. 武警山西总队医院骨一科，山西省太原市 030006
- 折叠
摘要
Abstract
BACKGROUND:With the diversification of the choice of internal fixation for femoral intertrochanteric fracture, the fixation method for the same kind of fracture can be selected according to surgeon’s habit, and there is no unified standard. OBJECTIVE:To compare Gamma nail and proximal femoral locking plate fixation for repair of femoral intertrochanteric fractures. METHODS: A total of 94 elderly patients with unstable intertrochanteric fractures were treated in the Shanxi Armed Police Corps Hospital from April 2009 to September 2012. They were divided into two groups according to fixation methods. Gamma nail group contained 46 cases. Proximal femoral locking plate group contained 48 cases. The two fixation methods were compared and analyzed from the folowing aspects: incision length, intraoperative bleeding volume, operation time, postoperative hip function recovery, loading time and complications. RESULTS AND CONCLUSION:Incision length, intraoperative bleeding volume, loading time and complications were better in the Gamma nail group than in the proximal femoral locking plate group (P < 0.05). No significant difference in operation time was detected between the two groups (P > 0.05). The excelent and good rate of hip function was 96% (44/46) in the Gamma nail group and 92% (44/48) in the proximal femoral locking plate group at 1 year after treatment, and no significant difference was detectable between the two groups (P > 0.05). These findings suggest that Gamma nail and proximal femoral anatomic locking plate for the treatment of unstable intertrochanteric fractures can reach good recovery of hip function, but Gamma nail showed obvious advantages in incision length, intraoperative bleeding volume, loading time and complications.关键词
植入物/骨植入物/不稳定型股骨转子间骨折/内固定/股骨近端解剖锁定钛板/Gamma钉/并发症Key words
Femoral Fractures/Internal Fixators/Bone Nails/Folow-Up Studies分类
医药卫生引用本文复制引用
高金伟,常甲楠,梁伟之..Gamma钉与锁定钛板修复老年不稳定型股骨转子间骨折：髋关节功能对比[J].中国组织工程研究,2015,(31):4994-4999,6.
