DCS和DHS在老年股骨转子部骨折治疗中的应用分析

目的：讨论DCS和DHS在老年股骨转子部骨折治疗中应用的临床效果。方法：170例患者分为DCS组和DHS组。结果：DCS组4例出现术后并发症。DHS组术中股骨外侧皮质骨折4例（Ⅲ、Ⅳ型骨折），术后股骨头、颈切割螺钉穿破股骨头伴后期髋关节疼痛2例，术后转子部压缩、加压钉后退、股骨颈短缩5例（Ⅰ型骨折），骨折均愈合，伴发肢体短缩在2cm之内，术后远端内移骨折2例。结论：DCS相对DHS明显稳定性好、操作相对简单，值得临床推广使用。

Analysis of experience of treating intertrochanteric fracture in elderly by DCS and DHS

Objective： To investigate clinical effective of treating intertrochanteric fracture in elderly by DCS and DHS. Methods： 170 patients are divide in DCS group and DHS group to treatment. Results： In DCS group, 4 cases appear postoperative complications. In DHS group, 4 cases appear fractures of the lateral femoral cortex （Ⅲ, Ⅳ fracture）, 2 cases appear after the femoral head, femoral neck cutting screws with worn hip pain later, 5 cases appear rotor after the ministry of compression, compression screw back, neck shortening （ Ⅰ fracture）, 2 cases appear fractures healed, associated with limb shortening within the 2cm and postoperative fractures of distal shift. Conclusion： DCS group stability is better than DHS group, relatively simple, is worth being applied.