摘要
目的:探讨股骨粗隆间骨折的内固定方法及疗效.方法:对分别采用L型钢板内固定、动力髋螺钉、动力髁螺钉与Gamma髓内针内固定的206例股骨粗隆间骨折进行临床比较和疗效分析.结果:随访12～36个月,平均24个月,优良率为A组92.7%;B组95.3%;C组94.6%;D组98.7%.结论:根据kyle与Evams联合分型法、Ⅰ～Ⅲ型宜选用动力髋内固定术,Ⅳ～V型宜选用Gamma钉内固定,V型使用动力髁螺钉也有良好效果.
Objective: To investigate the results of different internal fixation for the femoral trochanteric fractures. Methods: 206 patients with femoral trochanteric fracture were treated with condylar plate, DCS, DHS and Gamma intramedullary nail from 1997 to 2000. The mean follow-up was 24 months. Results: According to the fixation, the patients were divided into four groups, excellent results were recorded in 92.7%in Group A (treated with condylar plate), while 95.3%in group B (treated with DHS), 94.6% in group C (treated with DCS), 98.7%in group D (treated with Gamma intramedullary nail). Conclusion:According to the Kyle-Evams Classification, type Ⅰ to Ⅲ should be treated with DHS, while Ⅳ to Ⅴ should be treated with Gamma intramedullary nail as well as DCS.
出处
《中国临床医学》
北大核心
2005年第2期272-273,共2页
Chinese Journal of Clinical Medicine
