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动力髋螺钉治疗股骨转子下骨折的远期疗效
引用本文:张俊德,钱利海,梁清宇,耿家金.动力髋螺钉治疗股骨转子下骨折的远期疗效[J].临床骨科杂志,2009,12(3):310-311.
作者姓名:张俊德  钱利海  梁清宇  耿家金
作者单位:1. 芜湖市第二人民医院骨科,安徽,芜湖,241000
2. 芜湖市第一人民医院骨科,安徽,芜湖,241000
摘    要:目的探讨动力髋螺钉(DHS)治疗股骨转子下骨折的远期疗效。方法将41例治疗后获得6年以上随访的股骨转子下骨折患者资料进行回顾性分析。随访采用问卷及双侧髋关节正位X线片及下肢长度测量的方法。结果41例随访时间6.5~14.5年。根据Sanders评分标准:优30例(73%),良4例(10%),可5例(12%,其中ⅡC型2例,ⅢA型1例,ⅢB型2例),差2例(5%,其中ⅡC型1例,ⅢB型1例)。结论除ⅡC型和Ⅲ型骨折外,动力髋螺钉治疗股骨转子下骨折的远期疗效满意。

关 键 词:股骨骨折  动力髋螺钉

Long-term effect of subtrochanteric fractures treated by dynamic hip screws
ZHANG Jun-de,QIAN Li-hai,LIANG Qing-yu,GEN Jia-jin.Long-term effect of subtrochanteric fractures treated by dynamic hip screws[J].Journal of Clinical Orthopaedics,2009,12(3):310-311.
Authors:ZHANG Jun-de  QIAN Li-hai  LIANG Qing-yu  GEN Jia-jin
Institution:ZHANG Jun-de, QIAN Li-hai, LIANG Qing-yu, GEN Jia-jin ( Dept of Orthopaedics, the Second People's Hospital of Wuhu, Wuhu, Anhui 241000, China)
Abstract:Objective To study the long-term effect of subtrochanteric fractures treated by dynamic hip screws (DHS). Methods A retrospective analysis was pet'formed on 41 cases of subtrochanterie fractures treated by DHS with over 6-year follow-up. The follow-up employed the questionnaire and X-ray and measure of legs. Results 41 cases were followed up for 6. 5 - 14. 5 months. According to Sanders evaluation: 30 were excellent cases( 73% ), 4 good (10%),5 (2 ⅡC,1 ⅢA, and2 roB) fair (12%), and2 (1ⅡCand 1 ⅢB) poor (5%). Conclusions The long-term curative effect subtrochantefic fractures treated by DHS is satisfactory except Ⅱ C-type and Ⅲ-type fracture.
Keywords:femoral fractures  dynamic hip screws  
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