锁定加压钢板与DHS治疗股骨转子间骨折的对比研究

目的探讨锁定加压钢板与DHS治疗股骨转子间骨折的疗效及适应证。方法使用锁定加压钢板与DHS治疗股骨转子间骨折共102例，并对其在手术时间、术中出血量、术后引流、Parker髋关节功能评分、并发症等方面进行比较。结果锁定加压钢板组在手术时间、手术期出血量、术后切口引流量、并发症等均较DHS组少，DHS组早期活动和负重时间明显早于锁定加压钢板组。结论锁定加压钢板治疗股骨转子间骨折适用于所有类型的股骨转子间骨折，对于骨质疏松、粉碎性骨折患者尤为适合。DHS治疗股骨转子间骨折具有固定可靠、患者可早期活动和负重的优点，适用于Ⅰ、Ⅱ型股骨转子间骨折。

Comparative study of treatment of the femoral intertrochanteric fractures with locking compression Plate and DHS

Objective To evaluate the effect and indications in the treatment of the femoral intertro-chanteric fractures with locking compression plate add DHS. Methods Treated femoral intertrochanteric fractures with locking compression plate and DHS for 102 cases at the same period, and its operation time, blood loss,the drainage volum,Parkerhip function score,complication in the 2 groups were compared. Results The group of locking compression plate in the blood loss, operation time, complication and the drainage volum were less than the group of DHS,the group of DHS in the early activities were more early than the group of locking compression plate. Conclusion Treatment of the femoral intertrochantefic fractures with locking compression plate is suitable treatment for all types of femoral intertroehanterie fractures, which is especially suitable treatment for the syntripsis and osteoporosis. Treatment of the femoral intertrochanteric fractures with DHS has the advantages of reliable fixation and early activities,which is suitable treatment for the types of Ⅰ and Ⅱ.