| 动力髋螺钉治疗股骨转子周围骨折 |
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投稿时间：2004-11-08
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| 作者 | Author | 单位 | Address | E-Mail |
| 卢华定 |
LU Hua-ding |
中山大学附属第三医院骨科,广东广州510630 |
Department of Orthopaedics,the 3rd Affiliated Hospital,Sun Yat-san University,Guangzhou 510630,Guangdong,China |
skyforest@medmail.com.cn |
| 蔡道章 |
CAI Dao-zhang |
中山大学附属第三医院骨科,广东广州510630 |
Department of Orthopaedics,the 3rd Affiliated Hospital,Sun Yat-san University,Guangzhou 510630,Guangdong,China |
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| 曾庆彩 |
ZENG Qing-cai |
广东省武警医院骨科 |
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| 王昆 |
WANG Kun |
中山大学附属第三医院骨科,广东广州510630 |
Department of Orthopaedics,the 3rd Affiliated Hospital,Sun Yat-san University,Guangzhou 510630,Guangdong,China |
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| 王其友 |
WANG Qi-you |
中山大学附属第三医院骨科,广东广州510630 |
Department of Orthopaedics,the 3rd Affiliated Hospital,Sun Yat-san University,Guangzhou 510630,Guangdong,China |
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| 期刊信息：《中国骨伤》2005年，第18卷，第11期，第641-643页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨动力髋螺钉（DHS）治疗股骨转子周围骨折的疗效及所致并发症的原因。
方法:1999年1月-2004年1月共收治股骨转子周围骨折112例,其中男58例,女54例;年龄36~94岁,平均67.2岁。采用DHS内固定103例,DHS结合骨水泥固定3例,DHS结合大转子稳定钢板（TSP）内固定6例,回顾性分析其治疗效果及并发症发生的原因。
结果:94例获得5~18个月随访,平均11个月,所有患者均获得骨性愈合。按黄公怡疗效评定标准:优33例,良52例,可5例,差4例,优良率90.4%。术后局部并发症有骨折延迟愈合1例,髋内翻3例,螺钉从股骨头割出3例。
结论:DHS是治疗股骨转子周围骨折的有效手段,适应证的正确选择和内固定物的正确置入是提高疗效、减少并发症的关键。 |
| 【关键词】动力髋螺钉 骨折固定术,内 髋骨折 |
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| Analysis of therapeutic effect of dynamic hip screw for peritrochanteric fracture of the femur |
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ABSTRACT
Objective: To study the clinical outcomes and the reasons of complications of treatment of peritrochanteric fracture of the femur with the dynamic hip screw(DHS).
Methods:From January 1999 to January 2004,112 patients(58 male,54 female;the average age of 67.2 years ranging in age from 36 to 94 years)with peritrochanteric fracture of the femur were treated with DHS in 103 cases,DHS combined with bone cement in 3 cases and DHS united trochanter stable plate(TSP)in 6 cases respectively.Clinical outcomes and causes of complication were analyzed retrospectively.
Results:Ninety-four patients were followed up for an average time of 11 months(from 5 to 18 months).Bone healing was obtained in all patients.According to Huang’s criterion,the result were excellent in 34 cases,good in 54 cases,fair in 5 cases,and poor in 4 cases.The excellent and good rate was 90.4%.
The local complications included:delayed union in 1 cases,coxa vara in 3 cases and lag screw cut-out the femoral head in 3 cases.
Conclusion:DHS is a effective method for treating peritrochanteric fracutre.To choose proper indications and to make correct implantation of internal fixation are key to success and reduce the complications as well. |
| KEY WORDS Dynamic hip screw Fracture fixation,internal Hip fracture |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 卢华定,蔡道章,曾庆彩,王昆,王其友.动力髋螺钉治疗股骨转子周围骨折[J].中国骨伤,2005,18(11):641~643 |
| 英文格式: | LU Hua-ding,CAI Dao-zhang,ZENG Qing-cai,WANG Kun,WANG Qi-you.Analysis of therapeutic effect of dynamic hip screw for peritrochanteric fracture of the femur[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(11):641~643 |
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