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老年人股骨粗隆间骨折126例手术治疗分析
引用本文:杨国跃,商振德,卢晓栋,王能兴,徐伟.老年人股骨粗隆间骨折126例手术治疗分析[J].实用骨科杂志,2009,15(3):168-170,173.
作者姓名:杨国跃  商振德  卢晓栋  王能兴  徐伟
作者单位:天津市第三中心医院骨科,天津,300170
摘    要:目的评价四种手术方法治疗老年人股骨粗隆间骨折的疗效。方法回顾性分析我院于2004年9月至2007年12月收治的老年人股骨粗隆间骨折患者126例,其中应用空心加压螺钉治疗25例,动力髋螺钉治疗41例,股骨近端髓内钉治疗24例,人工股骨头置换术治疗36例。结果112例获得随访,时间6个月~3年,平均23.5个月,四种手术方法疗效均满意。结论治疗老年人股骨粗隆间骨折,四种手术方法各有优势,只有根据患者年龄、骨折类型、骨质疏松程度、手术耐受情况等合理选择手术方式,方可取得良好疗效。

关 键 词:股骨粗隆间  骨折  螺钉  髓内钉  股骨头置换

A Retrospective Analysis of 126 Cases Aged Femoral Intertrochanteric Fractures with Operation Treatment
YANG Guo-yue,SHANG Zhen-de,LU Xiao-dong,et al.A Retrospective Analysis of 126 Cases Aged Femoral Intertrochanteric Fractures with Operation Treatment[J].Journal of Practical Orthopedics,2009,15(3):168-170,173.
Authors:YANG Guo-yue  SHANG Zhen-de  LU Xiao-dong  
Institution:Department of Orthopaedics Surgery;Tianjin 3th Center Hospital;Tianjin 300170;China
Abstract:Objective To evaluated the clinical effects of four operative methods in treating femoral intertrochanteric fracture in aged patients.Methods From September 2004 to December 2007,126 aged patients with femoral intertrochanteric fracture were operated in our hospital.There are 25 cases were treated with hollow compression screw,41 cases were treated with dynamic hip screw(DHS),24 cases were treated with proximal femoral nail(PFN)and 36 cases were treated with artificial femoral head replacement.Results 112 c...
Keywords:femoral intertrochanteric  fracture  screw  nail  femoral head replacement  
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