| 防旋螺钉在动力髋螺钉治疗股骨粗隆间骨折中的应用 |
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| 引用本文： | 刘成龙,李奇,杨建成,靳安民. 防旋螺钉在动力髋螺钉治疗股骨粗隆间骨折中的应用[J]. 中国修复重建外科杂志, 2011, 0(3): 334-336 |
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| 作者姓名： | 刘成龙 李奇 杨建成 靳安民 |
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| 作者单位： | 南方医科大学珠江医院骨科; |
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| 摘 要： | 目的探讨在动力髋螺钉(dynamic hip screw,DHS)治疗股骨粗隆间骨折同时加用防旋螺钉的意义。方法 2006年4月-2010年1月,收治22例股骨粗隆间骨折患者。男15例,女7例;年龄54～83岁,平均66.3岁。跌伤16例,交通事故伤5例,高处坠落伤1例。均为闭合骨折。左侧13例,右侧9例。单纯股骨粗隆间骨折18例,合并Colles骨折4例。骨折按改良的Evans分型:Ⅰ型14例,Ⅱ型6例,Ⅲ型1例,Ⅳ型1例。伤后至手术时间3～7 d,平均4.5 d。术中采用DHS加用1枚防旋螺钉固定骨折。结果手术时间51～95 min,平均72 min;术中出血量150～350 mL,平均270 mL;住院时间12～35 d,平均16.8 d。术后患者切口均Ⅰ期愈合。22例均获随访,随访时间6～17个月,平均14个月。X线片示骨折均于术后12～16周达临床愈合,平均13.6周。无内固定物松动脱出、DHS滑动钉穿破股骨头、髋内翻等并发症发生。髋关节功能按照黄公怡疗效评价标准评定,获优19例,良3例。结论 DHS治疗股骨粗隆间骨折时加用1枚防旋螺钉,未明显增加手术时间,提高了骨折固定的牢固程度及抗旋转能力。
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| 关 键 词： | 股骨粗隆间骨折 动力髋螺钉 防旋螺钉 内固定 |
TREATMENT OF INTERTROCHANTERIC FRACTURES WITH DYNAMIC HIP SCREW AND FEMORAL NECK ANTI-ROTATION SCREW |
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| LIU Chenglong,LI Qi,YANG Jiancheng,JIN Anmin. TREATMENT OF INTERTROCHANTERIC FRACTURES WITH DYNAMIC HIP SCREW AND FEMORAL NECK ANTI-ROTATION SCREW[J]. Chinese journal of reparative and reconstructive surgery, 2011, 0(3): 334-336 |
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| Authors: | LIU Chenglong LI Qi YANG Jiancheng JIN Anmin |
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| Affiliation: | LIU Chenglong,LI Qi,YANG Jiancheng,JIN Anmin.Department of Orthopedics,Zhujiang Hospital,Nanfang Medical University,Guangzhou Guangdong,510282,P.R.China. |
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| Abstract: | Objective To investigate the application of anti-rotation screw after dynamic hip screw(DHS) in treatment of intertrochanteric fracture.Methods Between April 2006 and January 2010,22 cases of intertrochanteric fractures underwent DHS fixation operation with an anti-rotation screw,including 15 males and 7 females with an average age of 66.3 years(range,54-83 years).Fractures were caused by slipping in 16 cases,traffic accident in 5 cases,and falling from height in 1 case.All cases showed closed fractures,inc... |
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| Keywords: | Intertrochanteric fracture Dynamic hip screw Anti-rotation screw Internal fixation |
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