摘要
目的研究3种不同内固定治疗老年股骨粗隆间粉碎性骨折的临床疗效。方法选择股骨粗隆间粉碎性骨折的老年患者作为研究对象,随机分为给予动力髋螺钉(DHS)内固定治疗的观察组、解剖锁定接骨板内固定治疗的对照1组、解剖加压接骨板内固定治疗的对照2组,观察手术相关指标和愈合相关指标。结果观察组患者的出血量、术后引流量、术后卧床时间以及影像学完全愈合时间、完全负重下地时间均明显低于对照1组和对照2组;对照1组的手术时间则呈高于对照2组、观察组。结论动力髋螺钉(DHS)内固定治疗有助于减小手术创伤、促进术后恢复、改善髋关节功能,具有积极的临床价值。
Objective To study the clinical efficacy of three different fixation methods in the treatment of elderly femoral intertrochanteric comminuted fractures. Methods Elderly patients with femoral intertrochanteric comminuted fractures were selected as the study subjects and randomly divided into the observation group receiving dynamic hip screw （DHS） internal fixation treatment, the control group 1 receiving anatomical locking bone plate internal fixation treatment and the control group 2 receiving anatomical compression bone plate internal fixation treatment. The surgery related indicators and healing related indicators were observed. Results The observation group was significantly lower than the control group 1 and the control group 2 in the patient＇s blood loss amount, postoperative drainage amount, postoperative time in bed, imaging complete healing time and full weight bearing ambulation time; The control group 1 had longer operative time than the control group 2 and the observation group. Conclusion The dynamic hip screw （DHS） internal fixation treatment is conducive to reducing surgical trauma, promoting postoperative recovery and improving hip function, thus of positive clinical value.
出处
《中国医药科学》
2013年第18期199-200,214,共3页
China Medicine And Pharmacy
关键词
股骨粗隆间骨折
粉碎性
内固定
Intertrochanteric fractures
Comminuted
Internal fixation
