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不同手术内固定方法治疗股骨粗隆间骨折的效果

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目的:比较不同手术内固定方法治疗股骨粗隆间骨折的效果。方法:回顾性分析55例股骨粗隆间骨折患者内固定手术治疗方案的优劣。结果:本组55例股骨粗隆间骨折患者,其中,采用DHS内固定16例,2例发生髋内翻;PFN内固定16例,1例愈合较好;LCP内固定23例,全部愈合良好。结论:对于股骨粗隆间骨折,LCP内固定具有创伤小、操作简单的优点,对于大部分固定稳定的骨折,可达到良好的疗效;PFN内固定具有手术创伤小、操作简单、固定牢靠、抗旋转性强和骨折术后并发症少的优点;DHS内固定易导致股骨颈内骨量丧失,患者失血量较多,不方便旋转,一旦松动,则不易固定牢靠,且易穿出股骨头,不推荐使用。
Objective:to analyze and compare the intertrochanteric femoral fracture operation treatment.Methods:to analyses on 55 patients with internal fixation operation treatment of intertrochanteric fracture,retrospective analysis of clinical data.Results:DHS internal fixation in 16 cases,2 cases of coxa vara;PFN internal fixation in 16 cases,1 cases of poor healing;LCP internal fixation in 23 cases, all healed well.Conclusion:for intertrochanteric fractures,LCP internal fixation with less trauma,simple operation,for the efficacy of most of the fixed stable fracture is good;PFN internal fixation has the advantages of small operation wound,simple operation,reliable fixation, strong anti-rotation and fracture complications;DHS internal fixation,femoral neck bone mass loss,the amount of blood loss more, can not prevent rotation, and if it loosen,not easy to fixation,and easily out of the femoral head.

Intertrochanteric fracturesDHSLCPPFNinternal fixation

余勇彬、黄浏姣

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湖北省黄梅县人民医院 湖北 黄梅 435500

湖北中医药大学 湖北 武汉 430061

股骨粗隆间骨折 动力髋螺钉 锁定钢板 交锁髓内钉 内固定

2014

求医问药(下半月)
求医问药杂志社

求医问药(下半月)

ISSN:1672-2523
年,卷(期):2014.(2)
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