摘要
目的 评价γ -钉 (Gamma -Nail)治疗股骨转子间骨折的效果。 方法 从 1997- 2 0 0 0间 42例转子间骨折 ,按Jensen分类 ,其中Ⅰ型骨折 8例 ,Ⅱ骨折 12例 ,Ⅲ型骨折 14例 ,Ⅳ型骨折 7例 ,Ⅴ型骨折 1例。经闭合复位 ,C -臂监视下穿针。 结果 病人 1- 2周下地活动 ,6月随访 ,骨折移位 1例 ,远端锁钉固定失败 1例 ,复位不理想 2例 ,股骨颈下垂 (Sagcut) 1例。按照X线评定标准 ,85 7%病人满意 ;半年后结合病人问卷调查 ,除一例骨折、4例轮椅外 ,其它病人生活自理。 结论 γ -钉治疗转子间粉碎性骨折疗效基本满意 ,手术的关键是术前复位。
Objective To evaluate the efficacy of Gamma-Nail in the treatment of intertrochanteric femoral fractures. Methods 42 cases of intertrochanteric fractures were treated by Gamma nail from 1997 to 2000. According to the Jensen classification system of the intertrochanteric fracture there were 8 cases of type Ⅰ, 12 cases of type Ⅱ,14 cases of type Ⅲ, 7 cases of type Ⅳ and 1 case of typeⅤ. The results were observed after closing reduction, and closed percutaneous pinning fixation Results All cases left bed within 1-2 weeks. They were followed up for 6 months. During which fracture displacement occurred in 1 case, failure of distal locking in 1 case, failure of reduction in 2 cases, femoral neck sag cut in 1 case. 85.7 per cent of patients obtained excellent results by X-ray standards.Follow-up observation by questionailre conducted halfa year after operation showed most patients could take care of themselves in daily life, though one case failed to heal and 4 cases had to turn to wheel chair Conclusions Gamma nail has obvious therapeutic effects for comminuted intertrochanteric fracture and the preoperative reposition is a key to the technique.
出处
《中国微创外科杂志》
CSCD
2001年第6期364-366,共3页
Chinese Journal of Minimally Invasive Surgery
