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老年股骨粗隆间骨折外固定术

Hits: 1737 Download times: 1117 Received:November 04, 1998

作者	Author	单位	Unit	E-Mail
刘利民	Liu Limin	首都医科大学宣武医院,北京1000532	Xuanwu Hospital,Capital University of Medical Science Beijing 1000532
雍宜民	Yong Yimin	首都医科大学宣武医院,北京1000532	Xuanwu Hospital,Capital University of Medical Science Beijing 1000532
马克	Ma Ke	首都医科大学骨外固定研究所,北京

期刊信息：《中国骨伤》1999年12卷，第5期，第8-10页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:探讨老年股骨粗隆间骨折外固定术的可行性。

方法:闭合复位,模拟股骨粗隆部骨小梁的排列走向,于非同一平面向股骨头颈内交叉穿入三枚斯氏针,股骨上段穿入二枚螺纹半针形成不规则四边形固定。

结果:无脱针、断针、头切割,无髋内翻,无再手术,无手术死亡。针道反应率高,但针道感染率低,术后优良率达94.7%。

结论:外固定术具有创伤小,手术时间短,出血极少,不输血等优点。用于治疗老年体弱多病,手术耐受力差的股骨粗隆间骨折患者具有明显优势。

[关键词]:老年股骨粗隆间骨折外固定

External Fixation in the Treatment of Senile Intertrochanteric Fractures

Abstract:

Objective:To study the possibility of external fixation in the treatment of senile intertrochanteric fracture.

Methods: After closing reduction,three Steinmann’s pins were crosswise inserted into the head and neck of femur on different planes along the direction of trochanteric trabecularism and two screw pins were inserted into the upper femur,constructing an irregular quadrilateral frame.

Result:s The excellent good rate for 38 followed up cases was 94.7%.None of the following events was happened,i.e.broken pin,falling off pin,head cut,coxa vara,reoperation,and operative death.The track reaction rate was high,but the track infection rate was low.

Conclusion: External fixation causes minor trauma and less bleeding,takes shorter time of operation,and does not require transfusion.Therefore,it ensures the security in the treatment of intertrochanteric fractures in the aged and weak,as well as those who have less endurence to surgical operation.

KEYWORDS:Senile Intertrochanteric fracture External fixation

引用本文，请按以下格式著录参考文献：

中文格式:	刘利民,雍宜民,马克.老年股骨粗隆间骨折外固定术[J].中国骨伤,1999,12(5):8~10
英文格式:	Liu Limin,Yong Yimin,Ma Ke.External Fixation in the Treatment of Senile Intertrochanteric Fractures[J].zhongguo gu shang / China J Orthop Trauma ,1999,12(5):8~10

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