摘要
目的探讨微创手术方法治疗老年人粗隆间骨折的临床疗效。方法 2006年5月—2009年10月,我们应用股骨近端髓内钉微创手术方法治疗80岁以上高龄老年股骨粗隆间骨折73例,其中男14例,女59例,平均年龄86.5岁,根据Evans分型:I型3例,II型31例,III型34例,VI型5例。术后定期随访,术后髋关节按Harris评分对髋关节功能进行评估;记录患者对手术效果的整体满意度。结果 61例获得10～36个月随访,平均18月。其中18例术后1年内恢复术前行走功能水平;31例不能独立行走,需要扶拐下地行走;8例不能下地,只能在床上活动,髋关节不痛;4例髋关节疼痛,患侧膝关节屈曲畸形。术后髋关节按Harris评分:优18例,良31例,可8例,差4例。优良率80.1%。结论对于高龄粗隆间骨折病人应用微创手术治疗是一种非常有效的方法。
Objective To explore the clinical efficacy of microinvasive surgery for the treatment of intertroehanteric fracture in the elderly. Methods Seventy-three elder intertrochanteric fracture patients treated with intracavity screws in the proximal femur from May 2006 to October 2009 were collected, including 14 males and 59 fema~ ~, with mean age of 80 years old. Three patients were in fracture type I, 31 in type II, 34 in type lII, and 5 in type VI, respectively, according to Evans calcification. All patients were followed up after operation. The functions of hip joint were evaluated with Harris scores. The overall satisfactions of patients were recorded. Results Sixty-one patients were followed up for 10-36 months, with a mean of 18 months. The walking ability of eighteen patients recovered to pre-operation level in 1 year. Thirty-one patients could not walk independently and needed crutches. Eight patients could only stay on the bed without hip pain. Four patients were with hip pain and deformity of the diseased knee joint. The post- operation Harris score showed that the hip function was excellent in 18 patients, good in 31 patients, fare in 8 patients, and bad in 4 patients. The excellent and good rate was 80.1%. Conclusion Microinvasive surgery is an effective treatment to elder intertrochantcric fracture patients.
出处
《中国骨质疏松杂志》
CAS
CSCD
2011年第11期974-976,共3页
Chinese Journal of Osteoporosis
关键词
高龄
微创
粗隆间骨折
Elderly
Microinvasive
Intertrochanteric fracture
