老年人股骨粗隆间骨折58例手术治疗的疗效观察

目的 观察动力髋螺钉(DHS)和锁定加压钢板(LCP)治疗老年股骨粗隆间骨折的临床疗效.方法 老年股骨粗隆间骨折患者中30例接受DHS治疗,28例接受LCP治疗.分析两组患者手术时间、术中出血量.术后随访1年,分析患者的并发症情况和关节功能情况.结果 LCP组术后并发疰的发生率低于DHS组(P＜0.05),有效率和Harris评分均高于DHS组(P＜0.05).两组患者的出血量、手术时间和骨折愈合时间差异无统计学意义(P＞0.05).结论 相比较DHS,LCP治疗老年股骨粗隆间骨折具有更好的临床效果.

Clinical analysis of 58 elderly patients with intertrochanteric fracture accepted surgery treatment

Objective To investigate the clinical significance of DHS and LCP in treating elderly patients with intertrocbanteric fracture. Methods 58 elderly patients were randomly divided into 2 groups. 30 of them（ DHS group） were treated with DHS, while 28 cases of them were treated with LCP. Blood loss, operation time, bone healing time and Harris score were analyzed. After 1-year follow time, effective rate and complication rate were also recorded and evaluated in the 2 groups. Results The complication rate in LCP group was lower than that in DHS group（P 〈 0.05 ）, while the effective rate and Harris score in LCP were higher than that in DHS group （P 〈 0. 05 ）. There were no significant differences in blood loss, operation time and bone healing time between the 2 groups （ P 〉 0.05 ）. Conclusion Compared with DHS,LCP is effective in treating elderly patients with intertrochanteric fracture.