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DHS与Gamma钉治疗股骨粗隆间骨折的疗效比较
引用本文:张发平,王子明,王爱民. DHS与Gamma钉治疗股骨粗隆间骨折的疗效比较[J]. 创伤外科杂志, 2008, 10(2): 128-130
作者姓名:张发平  王子明  王爱民
作者单位:1. 富顺县人民医院骨科,四川,富顺,643200
2. 第三军医大学大坪医院野战外科研究所骨科,重庆,400042
摘    要:目的 探讨动力髋螺钉钢板(DHS)和Gamma钉治疗股骨粗隆间骨折的疗效和术中注意事项.方法 对54例股骨粗隆间骨折分别采用DHS内固定40例,Gamma钉内固定14例,比较两组平均手术时间、出血量、骨折愈合时间和术后并发症,观察术后关节功能.结果 两组的手术时间、出血量、骨折愈合时间、术后并发症和关节功能恢复情况无显著统计学差异.髋关节功能优良率二组分别为95%、92.8%.术后随访时间DHS组平均20个月,Gamma钉平均13个月,所有病例均骨性愈合,愈合时间DHS组平均15周,Gamma钉组平均14周.结论 DHS和Gamma钉是治疗股骨粗隆间骨折的有效内固定方法,各有优缺点,只要适应证掌握得当,手术操作规范,均能取得满意疗效.

关 键 词:股骨骨折  髋关节  内固定  Gamma nail  治疗  股骨  粗隆间骨折  疗效比较  fracture  trochanter  femoral  treatment  effect  操作规范  手术时间  适应证  内固定方法  骨折愈合时间  骨性愈合  病例  随访时间  组分  良率
文章编号:1009-4237(2008)02-0128-03
修稿时间:2007-09-20

Therapeutic effect of treatment of femoral trochanter fracture with DHS and Gamma nail
ZHANG Fa-ping,WANG Zi-ming,WANG Ai-min. Therapeutic effect of treatment of femoral trochanter fracture with DHS and Gamma nail[J]. Journal of Traumatic Surgery, 2008, 10(2): 128-130
Authors:ZHANG Fa-ping  WANG Zi-ming  WANG Ai-min
Affiliation:ZHANG Fa-ping,WANG Zi-ming,WANG Ai-min(Department of Orthopedics,People's Hospital of Fushun,Fushun 643200,China)
Abstract:Objective To discuss the therapeutic effect of DHS and Gamma nail in treatment of femoral trochanter fracture.Methods Fifty-four femoral trochanter fracture patients were divided into two groups.Forty patients were treated with dynamic hip screw plates and fourteen patients were treated with Gamma nails,and the average operation time,blood loss,the time of bone heal,and the postoperative complications and the hip function of the two groups were compared.Results There was no significant difference in the ave...
Keywords:femoral fracture  hip joint  internal fixation  
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