摘要
目的 比较动力髋螺钉(DHS)、股骨近端髓内钉(Proximal femoral nail,PFN)和Gamma钉治疗股骨粗隆间骨折的疗效差别。方法 将我院在2006～2012年间收治的粗隆间骨折99例分为3组。A组28例,采用DHS治疗;B组34例,采用PFN或新改进的PFN (PFNA)治疗;C组37例,采用加长型Gamma钉治疗,对3组患者术中及术后恢复情况进行比较。结果 采用髋关节功能Harris评分系统评定,B、C组的优良率高于A组,差异有统计学意义(P＜0.05),B、C组之间差异无统计学意义。B、C组手术时间及术中出血量均少于A组(P＜0.05)。结论 3种方法治疗股骨粗隆间骨折,Gamma钉、PFN疗效优于DHS。Gamma钉、PFN治疗股骨粗隆间骨折具有手术时间短、损伤小、出血少、固定牢靠、并发症少等特点,加长型Gamma钉能有效避免假体周围骨折,是老年股骨粗隆间骨折的理想内固定物。
Objective To evaluate the clinical results of intertrochanteric fracture treatment with DHS,PFN and Gamma nail. Methods From 2006 to 2012,99 patients with intertrochanteric fracture were included in the study. 28 cases in group A were treated by DHS,34 cases in group B by PFN,and 37cases in group C by Long Gamma nail. The intraoperative conditions and clinical results were evaluated. Results According to Harris scoring system,the excellent and good rates in group B and C are statistically higher than group A with significant statistic difference(P <0. 05). There is no statistic difference between group B and group C. The mean operation time and the intraoperative blood loss in group A are significantly more than those in the other two groups( P < 0. 05). Conclusion The Gamma nail and PFN are better than DHS in the treatment of intertrochanteric fracture. Both have less operation time,less injury,less bleeding,less complications and firm fixation. The Long Gamma nail can effectively avoid the fracture around the internal fixation,and it is a better choice in the treatment of intertrochanteric fracture in the elderly.
出处
《黑龙江医学》
2013年第10期936-938,共3页
Heilongjiang Medical Journal
关键词
股骨粗隆间骨折
动力髋螺钉
股骨近端髓内钉
GAMMA钉
Intertrochanteric fracture
Dynamic hip screw plate system
Proximal femoral locking nail
Gamma nail
