摘要
目的分析伽马钉（Gamma-Nail）治疗股骨粗隆间不稳定骨折的疗效.方法自1997～2004年治疗68例股骨粗隆间不稳定型骨折,按Tronzo-Evans分类,其中Ⅲ型36例,Ⅳ型22例,Ⅴ型10例.采用闭合复位,透视下穿针,伽马钉内固定.结果病人术后1～2周不负重下地活动,平均12周负重,13.4周骨折愈合.半年后随访,能独立行走59例,扶杖行走4例,借助轮椅行走2例,死亡3例.按照X线评定标准,86.8%疗效满意.结论伽马钉治疗股骨粗隆间不稳定型骨折,创伤小,手术时间短,恢复快,疗效满意,是治疗此类骨折的有效方法.
Objective To explore the clinical results of treatment of Gamma - Nail for unstable intertrochanter fracture of femur. Methods From 1997 to 2004, 68 cases of unstable intertrochanter fracture of femur were treated with Gamma - nails, According to Tronzo - Evans classification, 36 cases were of stage Ⅲ ; 22 of Ⅳ ; 10 of Ⅴ. The treatment involved close reduction, insertion of guide pin and Gamma - nail fixation. Resuits The patients started load - free rehabilitation 1 ～ 2 weeks after the operation. Conclusion Gamma - nall fixation is an effective way to treat intertrochanter fracture of femur with less injury, shorter operation time and rapid recovery.
出处
《临床和实验医学杂志》
2006年第4期370-371,共2页
Journal of Clinical and Experimental Medicine
关键词
股骨粗隆间骨折
伽马钉
不稳定
Intertroehanter fracture of femur
Gamma - nail
Unstable
