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| 三种不同金属植入物内固定治疗老年股骨转子间骨折99例的随机对照 | |
| 引用本文： | 王春辉,吴兵,何方生,王自刚. 三种不同金属植入物内固定治疗老年股骨转子间骨折99例的随机对照[J]. 中国组织工程研究与临床康复, 2011, 15(39): 7323-7326. DOI: 10.3969/j.issn.1673-8225.2011.39.026 |
| 作者姓名： | 王春辉 吴兵 何方生 王自刚 |
| 作者单位： | 石河子市人民医院骨一科,新疆维吾尔自治区石河子市,832000 |
| 摘 要： | 背景:目前治疗股骨转子间骨折的方法主要为动力髋螺钉,Gamma钉和股骨近端带锁髓内钉3种,究竟何种内固定更为安全、有效、可靠目前仍存在争议。目的:对比3种不同内固定治疗老年股骨转子间骨折的临床疗效。方法:选取石河子市人民医院骨一科2007-10/2009-12收治的股骨转子间骨折患者90例,依据治疗方式的不同,随机分为动力髋螺钉(DHS)组、Gamma钉组和股骨近端带锁髓内钉(PFNA)组。比较3组患者的内固定时间、出血量、住院时间、骨折愈合及并发症发生情况。结果与结论:90例患者均获得随访,随访时间12～26个月,PFNA组总有效率较DHS组和Gamma钉组高,但差异无显著性意义(P>0.05)。PFNA组内固定时间、出血量及住院时间均短于DHS组和Gamma钉组(P<0.05),PFNA组骨痂出现时间和骨折愈合时间与DHS组和Gamma钉组相比差异无显著性意义(P>0.05)。PFNA组内固定并发症明显低于DHS组和Gamma钉组(P<0.05)。提示PFNA对骨折端的血循环影响小和骨质破坏少,固定更为牢靠,是治疗老年股骨转子间骨折较为合理的方法。 |
| 关 键 词： | 股骨转子间骨折 动力髋螺钉 Gamma钉 股骨近端带锁髓内钉 金属植入物 |
Comparative efficacy of elderly intertrochanteric fractures treated by three different internal fixations in 99 cases |
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| Wang Chun-hui,Wu Bing,He Fang-sheng,Wang Zi-gang. Comparative efficacy of elderly intertrochanteric fractures treated by three different internal fixations in 99 cases[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2011, 15(39): 7323-7326. DOI: 10.3969/j.issn.1673-8225.2011.39.026 | |
| Authors: | Wang Chun-hui Wu Bing He Fang-sheng Wang Zi-gang |
| Affiliation: | Wang Chun-hui,Wu Bing,He Fang-sheng,Wang Zi-gang Department of Orthopedics,Shihezi People's Hospital,Shihezi 832000,Xinjiang Uygur Autonomous Region,China |
| Abstract: | BACKGROUND:Treatments for intertrochanteric fractures have three methods:dynamic hip screw(DHS),Gamma nail and proximal femoral nail anti-rotation(PFNA).Which one is more safe,effective,and reliable is still controversial.OBJECTIVE:To explore the clinical efficacy of three different internal fixation methods on elderly intertrochanteric fractures.METHODS:According to the different surgical methods,90 elderly patients with intertrochanteric fractures were divided into PFNA group,Gamma nail group and the DHS ... |
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| 本文献已被 CNKI 万方数据 等数据库收录！ | |