期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

中老年股骨近端骨折内固定方式的选择 被引量：10

原文传递
导出
摘要 目的探讨中老年人股骨近端骨折不同解剖部位及骨折类型的最优内固定方式。方法 56例股骨颈骨折采用股骨近端防旋髓内钉（PFNA）内固定8例、空心钉内固定10例、动力髋螺钉（DHS）内固定10例,DHS＋空心钉内固定23例,DHS＋空心钉＋带旋髂深动脉髂骨瓣治疗5例,88例股骨粗隆间骨折采用PFNA内固定42例、Gamma钉内固定12例、股骨近端解剖钢板内固定13例、DHS＋空心钉内固定21例,38例股骨粗隆下骨折采用PFNA内固定18例、解剖钢板内固定12例、DHS内固定8例。结果 182例均获得随访6-38个月,平均24.2个月。股骨颈骨折DHS＋空心钉内固定组及股骨粗隆间、粗隆下骨折PFNA内固定组髋关节功能Harris评分优良率高于其他组,差异有统计学意义（P〈0.05）。结论DHS＋空心钉内固定治疗中老年股骨颈骨折具有优势,而PFNA内固定是治疗股骨粗隆间骨折及粗隆下骨折的较佳选择。
作者 肖文焕 陈庆元 姜景尧 吴重祥 仲崇光 王天乒 王文凯
机构地区 晋江市安海医院骨二科
出处 《中国骨与关节损伤杂志》 2014年第10期1041-1042,共2页 Chinese Journal of Bone and Joint Injury
基金 晋江市科技局社会科技发展基金资助课题(2011010024)
关键词 股骨近端骨折 中老年 内固定 动力髋螺钉 空心钉 股骨近端防旋髓内钉
分类号 R687.3 [医药卫生—骨科学]
  • 相关文献

参考文献6

二级参考文献24

  • 1杨火发,郭应林,聂文波.缝匠肌骨瓣移植术与加压螺纹钉联合治疗中青年股骨颈骨折[J].中国修复重建外科杂志,2006,20(11):1073-1075. 被引量：8
  • 2Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg (Am), 1969, 51(4): 737-755.
  • 3Jensen JS, Miehaelsen M. Troehanteric femoral fractures treated with McLaughlin Osteosynthesis. Acta Orthop Stand, 1975, 46: 795-803.
  • 4Parker M J, Palmer CR. A nev, mobility score for predicting mortality after hip fracture. J Bone Joint Surg (Br), 1993, 75: 797-798.
  • 5Kitamura S. Hasegawa Y, Suzuki S. et al. Functional outcome after hip fracture in Japan. Clin Orthop, 1998, (348): 29-36.
  • 6Rogers FB, Shackford SR, Kelleer MS. Early fixation reduces morbidity and mortalilv in elderly patients with hip fractures from low-impact falls. J Trauma, 1995, 39: 261-265.
  • 7Baixauli F, Vicent V, Baixauli E, et al. A reinforced rigid fixation device for unstable intertrochanteric fractures. Clin Orthop. 1999,(361): 205-215.
  • 8Parker MJ. Trochanteric hip fractures: fixation failure commoner with femoral medialization: a comparison of 101 cases. Acta Orthop Seand, 1996, 67: 329-332.
  • 9Simmermacher RK, Rosch AM, Van der Werken C. The AO/ASIF-proximal femoral nail(PFN): a new device for the treatment of unstable proximal femoral fracture. Injury, 1999. 30: 327-332.
  • 10Sadowski C, Lubbeke A, Saudan M, et at. Treatment of reverse oblique and transverse intertrochanteric fractures with use of an intramedullary nail or 95 ° screw-plate. J Bone Joint Surg (Br), 2002,84: 372-381.

共引文献442

同被引文献61

  • 1刘粤,张长青,孟炜.闭合复位空心钉治疗中老年股骨颈骨折后股骨头坏死的多元相关研究[J].中华创伤骨科杂志,2006,8(7):617-621. 被引量：55
  • 2Harris W H. Traumatic arthritis of the hip after dislocation andacetsbular fractures treatment by mold arthroplasty. An end-re-sult study using a new method of result evaluation[J]. J BoneJoint Surg Am,1969,51,(4): 737-755.
  • 3ASNIS S E, Wanek-Sgaglione L. Intracapsular fractures of thefemoral neck. Results of cannulated screw fixation[J]. J BoneJoint Surg Am,1994,76(12) : 1793-1803.
  • 4Simmermacher RK, Bosch AM, Van der Werken C. The AO/ASIF- proximal femoral nail ( PFN ) : a new device for the treatment of unsta- ble proximal femoral fractures[J].Injury, 1999,30( 5 ) :327-332.
  • 5Honkonen SE, Vihtonen K, Jarvinen MJ. Second-generation cepha- lomedullary nails in the treatment of reverse obliquity intertrochanterie fractures of the proximal femur [J]. Injury, 2004,35 ( 2 ) : 179-183.
  • 6Haidukewych GJ, Israel TA, Berry DJ. Reverse obliquity fractures of the intertrochanteric region of the femur[J]. J Bone Joint Surg Am, 2001,83-A(5 ) :643-650.
  • 7Min WK, Kim SY, Kim TK, et al. Proximal femoral nail for the treatment of reverse obliquity intertrochanteric fracturtes compared with Gamma nail[ J]. J Trauma,2007,63 (5) : 1054-1060.
  • 8Barton TM, Gleeson R, Topliss C, ct al. A comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur: a prospective ran- domized trial[ J ]. J Bone Joint Surg Am ,2010,92 (4) :792-798.
  • 9Parker M J, Handoll HH. Gamma and other cephalocondylic intramed- ullary nails versus extramedullary implants tot cxtraeapsular hip frac- tures in adults[ J]. Cochrane Database Syst Rev ,2004,1 : CD000093.
  • 10Sadowski C, Lubbeke A, Saudan M, et al. Treatnent of reverse ob- lique and transverse intertrochanteric fraetures with use of an intr- amedullary nail or a 95 degrees screw-plate: a prospective, random- ized study [ J ]. J Bone Joint Surg Am,2002,84-A ( 3 ) : 372-381.

引证文献10

二级引证文献37

中国骨与关节损伤杂志
2014年 第10期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部