| 股骨粗隆间骨折的微创治疗 |
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| 引用本文： | 陈一心,王骏飞,熊进,施鸿飞,邱勇. 股骨粗隆间骨折的微创治疗[J]. 创伤外科杂志, 2009, 11(6): 491-493 |
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| 作者姓名： | 陈一心 王骏飞 熊进 施鸿飞 邱勇 |
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| 作者单位： | 南京大学医学院附属鼓楼医院骨科,江苏,南京,210008;南京大学医学院附属鼓楼医院骨科,江苏,南京,210008;南京大学医学院附属鼓楼医院骨科,江苏,南京,210008;南京大学医学院附属鼓楼医院骨科,江苏,南京,210008;南京大学医学院附属鼓楼医院骨科,江苏,南京,210008 |
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| 摘 要： | 目的探讨微创治疗股骨粗隆间骨折的手术疗效及并发症。方法对2006年1月-2008年9月收治的84例股骨粗隆间骨折进行闭合复位,38例采用Gamm a-3髓内钉固定,46例采用股骨近端髓内钉（PFN）固定。随访6-12个月,骨折临床愈合后,患髋行Harris髋关节功能评分。结果84例骨折全部愈合,愈合时间3-6个月,未发生螺钉切割出股骨头颈、髋内翻畸形、切口深部感染等严重并发症。患肢髋关节功能评定：Gamm a-3固定优良率为89.4%,PFN固定为86.9%。结论采用Gamm a-3髓内钉和PFN微创治疗股骨粗隆间骨折,疗效可靠,并发症少,创伤小,值得临床推广使用。
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| 关 键 词： | 股骨粗隆骨折 内固定 复位 微创手术 |
Minimally invasive treatment of intertrochanteric fracture |
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| CHEN Yi-xin,WANG Jun-fei,XIONG Jin,et al.. Minimally invasive treatment of intertrochanteric fracture[J]. Journal of Traumatic Surgery, 2009, 11(6): 491-493 |
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| Authors: | CHEN Yi-xin WANG Jun-fei XIONG Jin et al. |
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| Affiliation: | CHEN Yi-xin,WANG Jun-fei,XIONG Jin,et al.(Department of Orthopaedics,Drum Tower Hospital Affiliated to Medical School of Nanjing University,Nanjing 210008,China) |
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| Abstract: | Objective To investigate the efficiency and complication of minimally invasive treatment for intertrochanteric fracture using Gamma-3 or PFN nail.Methods Since Jan.2006 to Sep.2008,84 cases of intertrochanteric fracture were adopted closed reduction and fixed with Gamma-3 or PFN nail.All the patients were followed up for 6~12 months.After the fracture healed clinically,the hip function was evaluated according to the Harris criteria.Results All the fractures healed in 84 cases.The fracture-healing time was 3... |
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| Keywords: | intertrochanteric fracture internal fixation reduction minimally invasive operation |
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