髋动力钉板、解剖型接骨钉板治疗不稳定型转子间骨折疗效比较

目的: 探讨髋动力钉板(HDS)和股骨近端解剖型接骨钉板治疗不稳定型转子间骨折疗效。方法: 转子间不稳定型骨折解剖型接骨钉板开放复位30例,髋动力钉板开放复位内固定28例。结果: 在Evans Ⅲ型、Ⅳ型、Ⅴ型转子间骨折中,股骨近端解剖型接骨钉板和髋动力钉板相比较,手术时间、术中出血量和畸形愈合优良率差异均有显著性(P<0.01)。结论: 使用股骨近端解剖型接骨钉板可缩短手术时间,减少出血量,明显增强Evans Ⅲ型、Ⅳ型、Ⅴ型转子间骨折术后的稳定性,疗效优于髋动力钉板。

Comparison between the proximai femoral blade plate versus dynamic hip screw treating unstable intertrochanteric fracture

Objective: To compare the results of proximal lade plate and dynamic hip screw(DHS)for treatment of interochanteric fracture of femur(ITFF).Methods: Thirty cases of ITFF treated by proximal femoral blade plate and 28 cases by DHS were reviewed.Results: The time of operation,the bleeding amount during the operation and the outcome were significantly different in the fracture type of Evans Ⅲ,Ⅳ,Ⅴ treated with ITFF or DHS(P<0.01).Conclusions: Using proximal femoral blade plate for treatment of ITFF can shorten the operation time,reduce the bleeding amount and strengthen the stability of the interochanteric fracture of femur.It proves to be more effective than DHS in treatment of ITFF.