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两种微创手术治疗老年股骨颈基底部骨折的疗效分析
引用本文:李鹏,宋振飞.两种微创手术治疗老年股骨颈基底部骨折的疗效分析[J].中国中医骨伤科杂志,2010(9):33-34.
作者姓名:李鹏  宋振飞
作者单位:湖北中医学院附属襄樊中医医院下肢骨科,武汉430070
摘    要:目的:评价外固定支架与空心加压螺纹钉两种微创手术治疗65岁以上老年股骨颈基底部骨折的疗效。方法:56例老年股骨颈基底部骨折使用外固定支架固定,67例老年股骨颈基底部骨折使用空心加压螺纹钉固定,观察2组患者髋关节功能恢复效果,有无并发症。结果:外固定支架组优良率94.6%,空心钉组优良率80.5%。结论:治疗老年股骨颈基底部骨折,外固定支架组明显优于空心加压螺纹钉内固定治疗组。

关 键 词:老年  股骨颈基底部骨折  微创

Evaluation of Two Minimally Invasive Surgeries for Treatment of Basal Femoral Neck Fracture in the Elderly
Institution:LI Peng1 SONGong Zhenfei11Department of Lower-limb Orthopaedics,Xiangfan Hospital of Traditional Chinese Medicine Affiliated to Hubei College of Traditional Chinese Medicine,Xiang Fan 441000,China
Abstract:Objective:To evaluate the effect of the two minimally invasive surgeries,external fixation and cannulated screw,in treatment of basal femoral neck fracture in patients over 65 years of age.Methods:Fifty-six elderly patients with basal femoral neck fracture were treated with external fixation and another 67 cases with cannulated screw.The recover rate of hip joint function as well as complications was evaluated and observed.Results:The excellent recover rate of hip joint function in external fixation group was 94.6% and that for cannulated screw group was 80.5%.Conclusion:External fixation is preferable than cannulated screw in treatment of basal femoral neck fracture in the elderly.
Keywords:Elderly  Basal femoral neck fracture  Minimally invasive surgery
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