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股骨近端锁定加压钢板与动力髋螺钉内固定治疗股骨粗隆间骨折的疗效比较
引用本文:肖勇,李定国. 股骨近端锁定加压钢板与动力髋螺钉内固定治疗股骨粗隆间骨折的疗效比较[J]. 中国中医骨伤科杂志, 2011, 0(11): 32-33
作者姓名:肖勇  李定国
作者单位:湖南旺旺医院骨科;
摘    要:目的:对比研究股骨近端锁定钢板与动力髋螺钉内固定治疗股骨粗隆间骨折的疗效。方法:手术治疗股骨粗隆间骨折64例,其中40例应用动力髋螺钉(DHS)内固定,24例应用股骨近端锁定加压钢板(LCP)固定,观察切口长度、手术时间、出血量、术后引流量、骨折愈合时间。随访观察术后并发症发生情况,术后1年髋关节功能Harris评分。结果:2组切口长度、手术时间、术中出血量、术后引流量及骨折愈合时间比较差异均有统计学意义(P<0.05),根据Harris评分1年后髋关节功能优良率,LCP组95.83%,DHS组80%,2组比较差异无统计学意义(P>0.05)。结论:LCP在股骨粗隆间骨折的治疗中相对于DHS无论出血量,手术时间,术后疗效均有较大优势,值得临床推广应用。

关 键 词:股骨近端锁定解剖钢板  动力髋螺钉  股骨粗隆间骨折  疗效

Treatment of Femoral Intertrochanteric Fractures with LCP and with DHS: a Comparative Analysis
XIAO Yong LI Dingguo. Treatment of Femoral Intertrochanteric Fractures with LCP and with DHS: a Comparative Analysis[J]. Chinese Journal of Traditional Medical Traumatology & Orthopeics, 2011, 0(11): 32-33
Authors:XIAO Yong LI Dingguo
Affiliation:XIAO Yong1 LI Dingguo1 1Department of Orthopedic,Wangwang Hospital of Hunan,Hunan 410006,China
Abstract:Objective: To compare the effect of proximal femur locking compression plate(LCP) and dynamic hip screw(DHS) fixation in treatment of femoral intertrochanteric fractures.Methods:All 64 patients of femoral intertrochanteric fractures were treated by surgery,40 patients were treated with DHS and 24 patients were treated with LCP.The incision lengths,operative time,blood loss,postoperative drainage,and fracture healing time were observed.Postoperative complications were followed up and Harris hip function scor...
Keywords:LCP  DHS  Femoral intertrochanteric fracture  Internal fixation effect  
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