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老年股骨转子间骨折治疗体会
引用本文:马建林,辛泽团,王萍. 老年股骨转子间骨折治疗体会[J]. 医疗保健器具, 2011, 18(10): 1550-1551. DOI: 10.3969/j.issn.1674-4659.2011.10.1550
作者姓名:马建林  辛泽团  王萍
作者单位:山东省青岛市城阳人民医院创伤骨科,山东,青岛,266109
摘    要:目的观察采用动力髋螺钉内固定和人工股骨头置换治疗股骨转子间骨折的疗效。方法采用动力髋螺钉内固定治疗股骨转子间骨折43例,人工股骨头置换13例,根据Harris评分标准对患者进行功能评定。结果本组56例患者,手术均顺利,切口均一级愈合。术后随访6~24个月,平均随访16个月,骨折全部愈合。DHS内固定组优24例,良15例,可4例,差0例,优良率为90.7%。人工股骨头置换组优9例,良3例,可1例,差0例,优良率为92.3%。结论动力髋螺钉和人工股骨头均是治疗老年股骨转子间骨折的理想方法,但要根据病情个体化治疗。

关 键 词:老年  股骨  转子间骨折  内固定

Treatment Experience of Intertrochanteric Fractures in Elderly Patients
MA Jianlin,XIN Zetuan,WANG Ping. Treatment Experience of Intertrochanteric Fractures in Elderly Patients[J]. Medicine Healthcare Apparatus, 2011, 18(10): 1550-1551. DOI: 10.3969/j.issn.1674-4659.2011.10.1550
Authors:MA Jianlin  XIN Zetuan  WANG Ping
Affiliation:MA Jianlin,XIN Zetuan,WANG Ping (Department of Orthopaedics and Traumatology,Chengyang People's Hospital of Qingdao City,Qingdao 266109,China)
Abstract:Objective To investigate the effect of dyramic hip screw (DHS) internal fixation and artificial femoral head replacement for the treatment of intertrochanteric fractures. Methods 43 patients with intertrochanteric fractures were treated with DHS internal fixation, 13 patients with intertrochanteric fractures were treated with femoral head replacement, according to Harris scoring criteria to carry out functional assessment in the patients. Results 56 patients' operations were successful, all the wound were h...
Keywords:Elderly  Femur  Intertrochanteric fractures  Internal fixation  
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