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动力髋关节螺钉
引用本文:李衡,张英泽. 动力髋关节螺钉[J]. 中国修复重建外科杂志, 2005, 19(10): 839-842
作者姓名:李衡  张英泽
作者单位:河北医科大学附属第三医院骨科,石家庄,050051
摘    要:目的 综述动力髋关节螺钉(dynamic hip screw,DHS)内固定治疗股骨粗隆间骨折(intertrochanteric femur fractures,IFF)的研究进展。方法 广泛查阅近年来有关DHS内固定治疗IFF生物力学、临床应用的相关文献,并作综合分析。结果 随着DHS的结构力学、手术操作研究进展,已成为临床治疗IFF的有效工具。结论 DHS仍然是治疗稳定性IFF的金标准,对于复杂IFF采用改良DHS同样可以取得良好疗效,但严格手术适应证、熟练手术操作、严格微创操作仍是应用的主要原则。

关 键 词:动力髋关节螺钉 股骨粗隆间骨折 内固定
收稿时间:2004-10-21
修稿时间:2005-06-10

RESEARCH ADVANCE OF DYNAMIC HIP SCREW INTERNAL FIXATION IN TREATMENT OF INTERTROCHANTERIC FRACTURES
LI Heng,ZHANG Yingze. RESEARCH ADVANCE OF DYNAMIC HIP SCREW INTERNAL FIXATION IN TREATMENT OF INTERTROCHANTERIC FRACTURES[J]. Chinese journal of reparative and reconstructive surgery, 2005, 19(10): 839-842
Authors:LI Heng  ZHANG Yingze
Affiliation:Department of Orthopedics, Affiliated 3rd Ho.~pital, Hebei Medical University, Shijiazhuang Hebei, 050051, P, R, China
Abstract:Objective To investigate the development of dynamic hip screw(DHS) internal fixation in the treatment of intertrochanteric femur fractures.Methods The latest relevant articles were reviewed extensively,including biomechanics and clinical application research.Results DHS is the effective selection for the treatment of intertrochanteric femur fractures,especially by the innovation of DHS structure,operative manipulation.Conclusion Treatment of intertrochanteric femur fractures with DHS is still a gold level,but strict selection of patients,proficiency operation and invasive manipulation are the most essential principles.
Keywords:Dynamic hip screw   Intertrochanteric femur fractures   Internal fixation
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