骨折固定_____高龄；_股骨粗隆间骨折；

高龄股骨粗隆间不稳定型骨折不同手术方式比较

http://www.100md.com 《中国矫形外科杂志》 2006年第6期

骨折固定,,高龄；,股骨粗隆间骨折；,骨折固定；,人工关节,1临床资料,2讨论,参考文献：

     摘要：[目的]通过分析动力髋螺钉(DHS)及人工股骨头置换术治疗股骨粗隆间骨折的手术效果,评价不同的手术方案治疗高龄患者股骨粗隆间骨折的临床效果。[方法]本组40例,男22例,女18例；年龄75～90岁,平均82岁。其中22例应用DHS手术内固定治疗；18例采用人工股骨头置换术治疗。[结果]平均随访15 a，应用DHS及人工股骨头置换术患者，卧床时间分别为3周和1周，完全负重时间分别为10周和6周。无感染及骨折不愈合发生。2例DHS内固定的患者出现螺纹钉穿出股骨头，4例出现髋内翻，2例出现肺部感染。仅30%年龄>70岁的患者恢复至术前的活动水平。[结论]人工股骨头置换术是老年人股骨粗隆间骨折较为理想的内固定方法，可大大减少并发症。

    关键词：高龄；股骨粗隆间骨折；骨折固定；人工关节

    Comparative study of the different surgical technique for intertrochanteric fractue in elderly∥CHEN Dexi,WAN Xiuyang,LANG Jixiao,et al. Orthopedic Department, Qingdao Traditional Medical Hospital, Qingdao 266033

    Abstract：[Objective]To evaluate and compare the of the ideals surgical technique for intertrochanteric fractue between DHS and arthroplasty.[Method]A total of 40 gerontal patients with the different surgical treatment from January 1999 to May 2004 were chosen. The mean age of the patients was 82 (75～90).Among the patients, 23 patients by DHS,17 by arthroplasty.[Result]The duration of followup averaged 1.5 years.The time in bed were 3 and 1 weeks due to DHS and arthroplasty, the full weightbearing time were 10 and 6 weeks.[Conclusion]arthroplasty is ideal choice for the unstable intertrochanteric fractue. ......

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