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DHS、PFN内固定治疗股骨转子间骨折的疗效及并发症比较 总被引:3,自引:0,他引:3
目的比较动力髋螺钉(DHS)和股骨近端带锁髓内钉(PFN)内固定治疗股骨转子间骨折的疗效和并发症发生情况。方法将78例股骨转子间骨折患者按内固定方式分为DHS组和PFN组。术后定期随访,观察有无股骨头切割、内固定松动,比较骨折愈合时间、双侧颈干角、术后8个月双下肢长度。结果股骨头切割、内固定松动发生率和骨折愈合时间两组相比,P均〉0.05。PFN组患者髋内翻发生率和肢体短缩程度低于DHS组,P均〈0.05。结论与DHS内固定相比,PFN内固定治疗股骨转子间骨折并发症少,疗效类似。 相似文献
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目的总结采用动力髋螺钉内固定(DHS)治疗老年股骨转子间骨折的疗效。方法对64例股骨转子间骨折患者采用DHS治疗,配合术后康复训练,观察其疗效并总结经验。结果手术平均时间43min,术中出血量120-285ml,术后X线检查达到或接近解剖复位,平均住院19d。浅表感染1例、螺钉切割出股骨颈外1例、髋内翻1例、下肢深静脉血栓形成1例,住院及随访期间无死亡、无骨折不愈合。术后综合评价优良率为92%。结论采用DHS并正确指导术后康复训练是治疗老年股骨转子间骨折的有效方法。 相似文献
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目的 比较解剖钢板与动力髋螺钉(DHS)治疗股骨转子间骨折的临床疗效.方法 应用两种内固定方法治疗股骨转子间骨折56例,其中解剖钢板27例(A组),DHS 29例(B组),统计手术中出血量、手术时间、术后引流量、术后并发症及髋关节功能等指标.结果 解剖钢板与DHS治疗股骨转子间骨折的临床疗效差异无统计学意义(P>0.05),但在手术中出血量、手术时间、术后引流量解剖钢板比DHS减少,差异有统计学意义(P<0.05).结论 解剖钢板治疗股骨转子间骨折具有操作简单、手术创伤小、固定可靠等优点,是一种较好的治疗股骨转子间骨折的内固定方法. 相似文献
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股骨转子间骨折是一种常见的股骨近端骨折,好发于老年人,死亡率高达15%~20%〔1〕。目前临床上多采用动力髋螺钉(DHS)内固定进行治疗,但其制动时间长、稳定性不足,且术后无法尽快功能锻炼。人工股骨头置换作为治疗老年股骨转子间骨折的一种新方法,其疗效已在国内外研究报道中得到肯 相似文献
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外固定支架微创治疗老年股骨转子间骨折 总被引:1,自引:0,他引:1
目的探讨一种适合老年人股骨转子间骨折的微创治疗方法。方法对33例老年股骨转子间骨折使用闭合复位,Orthofix转子间外固定支架(OPF)固定。并将用该法治疗的患者与同期在我院采用切开复位DHS内固定或Gamma钉内固定的42例转子间骨折患者在手术时间、失血量、住院时间、骨折愈合时间、并发症等指标上进行比较。结果33例中31例得到随访,平均随访时间12.5个月,骨折均愈合,平均愈合时间15.3周。根据Sanders髋功能评定标准进行髋关节功能评分,优良率87.1%。结论OPF具有手术时间短、操作简便、创伤小、并发症少等优点,是老年人股骨转手间骨折值得推荐的一种微创治疗方法。 相似文献
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《中国老年学杂志》2014,(14)
目的比较不同手术方式治疗老年股骨转子间骨折患者的临床疗效。方法 82例老年转子间骨折患者均分为实验组〔防旋股骨近端髓内钉内固定(PFNA)〕和对照组〔动力髋螺钉内固定(DHS)〕,比较两组手术情况、术后并发症发生情况、住院时间、骨折愈合时间及术后髋关节功能恢复情况。结果实验组平均手术时间、平均切口长度及术中平均出血量均明显低于对照组(P<0.05);两组并发症发生率、平均住院时间和骨折平均愈合时间差异不显著(P>0.05);两组术后髋关节功能Harris评分与治疗前比较均明显降低(P<0.05);两组间术前、术后髋关节功能Harris评分差异不显著(P>0.05)。结论 PFNA与DHS治疗老年股骨转子间骨折疗效和安全性基本相同,但PFNA治疗老年股骨转子间骨折术中出血量少、手术时间短,能够减少对患者的伤害,改善患者恢复情况。 相似文献
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目的比较动力髋螺钉(DHS)及股骨近端髓内钉(PFN)内固定术治疗老年股骨转子间骨折的疗效。方法 104例股骨转子间骨折患者随机分为DHS组和PFN组,各52例,分别采用DHS、PFN内固定术治疗。术后4、12个月随访,观察比较两组患肢功能、并发症发生情况、再手术率和病死率。结果 DHS组骨折平均愈合时间为4.8个月,PFN组为4.2个月,两组相比,P〈0.05。术后4个月时,DHS组髋关节活动度为32°±1.6°,患者满意度为84%,髋关节功能评分为(47.1±1.5)分,PFN组分别为34°±2.6°、87%、(50.3±2.1)分;术后12个月,DHS组分别为35°±2.1°、90%、(54.3±3.3)分,PFN组分别为42°±1.8°、96%、(56.2±1.4)分。DHS组发生5例并发症,PFN组发生3例并发症两组相比,P〈0.05。两组再手术率及病死率比较,P均〉0.05。结论对于老年股骨转子间骨折,PFN内固定术较DHS内固定术效果更好。 相似文献
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During the past decade a series of published reports have examined the value of studying the relation between hip circumferences and cardiovascular end points. Specifically, in a series of recent studies the independent effects of hip circumference have been studied after adjustment for general obesity and/or waist circumference. These studies have been remarkable in terms of their consistency, and in the unexpected finding of an adverse effect of small hip size, after statistically correcting for differences in general and abdominal size. The hazard related to a small hip size may be stronger for women than men, but is evident in both genders. In this ‘viewpoint’, we wish to draw attention to the emerging body of evidence and to encourage researchers to continue collecting measures of lower body size in their surveys. 相似文献
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Dr. Edward W. Campion MD Alan M. Jette PT MPH PhD Paul D. Cleary PhD Bette Ann Harris MS PT 《Journal of general internal medicine》1987,2(2):78-82
A prospective study of 79 patients with recent hip fracture revealed prior functional impairments with community mobility
(49%), using a bathtub (40%), walking outdoors (26%), and stair-climbing (18%). Eighty-six per cent of patients (mean age
77.9 years) were admitted from home, with 95% surviving to discharge but only 28% returning directly home following surgical
repair. In-hospital complications included confusion (49%), urinary tract infection (33%), and heart rhythm disturbance (26%).
Mean length of stay was 21.7 days and mean hospital charges were $11,052. The outliers (15%) averaged 60.6 days in length
of stay and $28,190 in charges. Stepwise multivariate regression revealed that lengths of stay varied significantly with prefracture
functional status, presence of intertrochanteric fractures, and in-hospital complications, but not with patient age. Examination
of these findings in relation to prospective reimbursement led to the conclusion that hip fracture patients are particularly
vulnerable in the era of new hospital strategies to avoid high-cost patients and curtail hospital costs.
Presented at the meeting of the Gerontological Society of America, November 1984.
Supported by a grant from The Robert Wood Johnson Foundation. 相似文献
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