老年人股骨粗隆间骨折的治疗选择及其疗效分析

目的:分析老年人股骨粗隆间骨折的治疗情况,评价不同治疗方法的疗效。方法:78例老年人股骨粗隆间骨折,其中保守治疗10例,手术治疗68例。手术治疗包括:DHS内固定治疗56例,三枚加压空心螺纹钉内固定治疗10例,外支架固定治疗2例。结果:随访7~42个月,平均18个月,无感染及骨折不愈合发生。3例出现髋内翻,2例DHS内固定的患者出现螺纹钉穿出股骨头。髋关节功能评定优良率为86.5%。结论:手术治疗是老年人股骨粗隆间骨折的首选方法;DHS是较为理想的内固定方法。

The Therapies of Intertrochanteric Fractures of the Femur in the Elderly and Analysis of Therapeutic Effects

Objective:To analyse the curative effects of intertrochanteric fractures of the femur in the elderly using different methods.Methods:There were seventy-eight cases of intertrochanteric fractures.Ten cases were treated with conservative therapy.Sixty-eight cases were operated,fifty-six of them performed with DHS(Dynamic Hip Screw),ten cases with three dynamic hollow screws and two cases with extra-infixation.Results:The patients were followed up for 7～42 months,with an average of 18 months.There were not any infection and nonunion cases.Coxa vara was found in 3 cases.Screw perforated the femoral head in 2 cases of the DHS internal fixation.The excellent and good rate of hip joint function was 92.2%.Conclusion:Operation is the first selection for treating intertrochanteric fractures of the femur in the elderly and the DHS is an ideal internal fixation method.