| 微创复位技术治疗复杂性股骨粗隆间骨折的疗效分析 |
| |
| 引用本文： | 夏荣刚,郑宪友,陈旸,曾炳芳.微创复位技术治疗复杂性股骨粗隆间骨折的疗效分析[J].中国矫形外科杂志,2010,18(8):617-620. |
| |
| 作者姓名： | 夏荣刚 郑宪友 陈旸 曾炳芳 |
| |
| 作者单位： | 上海交通大学附属第六人民医院骨科,上海,200233 |
| |
| 摘 要： | 目的]评价微创复位技术治疗复杂性股骨粗隆间骨折的疗效。方法]本科自2005年3月~2008年8月对49例复杂性股骨粗隆间骨折患者,按复位方式的不同,将其分为A组:切开复位组(21例);B组:微创技术复位组(28例)。同时采用PFN、Gamma钉内固定治疗。术中记录手术时间、出血量;术后情况及随访记录住院时间、负重时间、骨折平均愈合时间、并发症以及髋关节功能恢复情况。结果]所有患者均获随访,随访时间12~36个月(平均23.3个月)。B组在手术时间、出血量及骨折平均愈合时间较A组有统计学意义上的差异(P0.05)。术后髋内翻畸形、内固定断裂、股骨干骨折、肢体短缩等并发症的发生率在两组间无统计学意义上的差异(P0.05)。B组髋关节功能评分(Harris)优良率明显高于A组(P0.05)。结论]采用微创复位技术,利用复位钳环抱间接复位加内固定治疗复杂性股骨粗隆间骨折,复位佳,术中创伤小,术后骨折愈合时间缩短,髋关节功能恢复良好。
|
| 关 键 词： | 股骨粗隆间骨折 复位 微创 髋关节功能 并发症 |
Therapeutic effects of minimally invasive replacement in complicated femoral intertrochanteric fractures |
| |
| XIA Rong-gang,ZHENG Xian-you,CHEN Yang,et al..Therapeutic effects of minimally invasive replacement in complicated femoral intertrochanteric fractures[J].The Orthopedic Journal of China,2010,18(8):617-620. |
| |
| Authors: | XIA Rong-gang ZHENG Xian-you CHEN Yang |
| |
| Institution: | XIA Rong-gang,ZHENG Xian-you,CHEN Yang,et al.Department of Orthopedics,the Sixth People\'s Hospital,Jiaotong University,Shanghai 200233,China |
| |
| Abstract: | Objective]To evaluate the therapeutic effects of minimally invasive replacement in complicated femoral intertrochanteric fractures.Method]A retrospective analysis was done for 49 patients with femoral intertrochanteric fractures in the author's department from March 2005 to August 2008.According to different ways of replacement,the patients were divided into Group A(n=21),open repositioning and Group B(n=28),minimally invasive replacement respectively.And PFN or Gamma nail was fixed after that.Operation t... |
| |
| Keywords: | femoral intertrochanteric fracture replacement minimally invasive hip function complications |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
