摘要：目的：总结Richard钉在老年股骨转子间骨折治疗中的应用及疗效，探讨其手术治疗的必要性和优越性。方法：34例老年股骨转子间骨折早期应用Richard钉手术内固定，对术中、术后处理及疗效进行总结和随访。结果：随访6～24个月，平均愈合时间16周，所有病例均恢复行走，髋关节功能优良率达96%。结论：Richard钉在治疗老年顺股骨转子间骨折中固定牢靠，并发症少，关节功能恢复理想，是一种有效的内固定材料。

    关键词：Richard钉；老年股骨转子间骨折；手术

    Richard Nail used to Treat Intertrochanteric Fracture in the Old

    CEN Yi-biao, ZHANG Ying-wen, ZHU Zhi-min

    (Lianjiang People's Hospital, Guangdong Lianjiang 524400, China)

    Abstract： Objective： To observe curative effects of Richard nail used in intertrochanteric fracture in the old, and to discuss the necessity and superiority of the surgery treatment. Method： Internal fixation with Richard nail was used in earlier period on 34 old people with intertrochanteric fracture, treatments on operation and after operation and its effects were followed up. Result： Followed up for 6～24 months, all case could walk and the good rate of articulatio coxae function was 96%. Conclusion： Richard nail is a kind of effective material of internal fixation when used in intertrochanteric fracture in the old, because fixation with Richard nail is strong and has few complication and joint function is also fine. ......