摘要
目的:分析DHS和Gamma钉在老年股骨转子间骨折中的治疗选择和临床疗效。方法:对2001年4月～2010年8月期间采用DHS(58例)及Gamma钉(28例)内固定治疗老年股骨转子间骨折,比较两组术中和术后多项相关指标并行统计学分析。结果:术后6～24个月的随访,所有病例均骨性愈合,与内固定相关并发症DHS组8例,Gamma钉组0例。Gamma钉组与DHS组相比较手术时间、术中出血量、切口长度、术后下地时间差异均具有统计学意义(P<0.05)结论:DHS适用于I～II型股骨转子间骨折,而Gamma钉则更适用于复杂类型的股骨转子间骨折。Gamma钉治疗股骨转子间骨折时,具有手术创伤小,下地活动早,恢复快等优点。
Objective： To compare the clinical effectiveness of Gamma nail and dynamic hip screw （DHS） for intertrochanteric fractures of the femur in the elderly. Methods： Form April 2001 to August 2010, DHS（58 cases）and Gamma nall（28 cases） and internal fixation. Were compared inttaoperative and postoperative number of related indicators analyzed statisticaIly. Results：The follow - up of postoperative 6 to 24 months , all cases were osseous healing, and complications related internal fixation are 8 cases in DHS group and 0 cases in Gamm a group. The data of two groups were collected for statistical analysis oft the following aspects：operative time, blood loss, length of incision, time of fracture clinical healing, postoperative functional recovery time showed sig- nificant difference between the two groups（P 〈 0.05）. Conclusion： DHS is more applicable to the I- II type in- tertroehanteric fractures of the femur, but Gamma nail is more applicable to the Complex type of intertrochanteric fractures, and Gamm a nail is with smaller surgical trauma, functional recovery is earlier and recovery is faster and so on.
出处
《内蒙古医学杂志》
2013年第2期176-178,共3页
Inner Mongolia Medical Journal
