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加压滑动鹅头钉治疗股骨转子间不稳定型骨折
Hits: 2118   Download times: 1230   Received:December 06, 2000    
作者Author单位UnitE-Mail
蔡贤华 CAI Xian hua 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
徐永年 XU Yong nian 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
尹成忠 YIN Cheng zhong 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
王庆 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
罗芝荣 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
唐运章 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
时宏富 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
刘曦明 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
徐峰 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
苏红军 广州军区武汉总医院,湖北武汉430070 Wuhan General Hospital of Guangzhou PLA,Hubei Wuhan,430070  
期刊信息:《中国骨伤》2001年14卷,第11期,第659-661页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:观察加压滑动鹅头钉治疗股骨转子间不稳定型骨折的疗效。

方法:采用加压滑动鹅头钉治疗股骨转子间不稳定型骨折42例。根据改良Evans分类法,Ⅲ型骨折7例,Ⅳ型24例,Ⅴ型11例。

结果:骨折复位及内固定满意,平均随访17个月,全部骨折愈合,无髋内翻畸形,无钢板螺钉断裂及动力加压螺钉松脱,髋关节功能恢复满意。

结论:加压滑动鹅头钉内固定具有固定可靠、并发症少及有利于患者早期功能活动等优点,是股骨转子间不稳定型骨折的有效内固定方法。
[关键词]:股骨骨折  骨折固定术  骨折  不稳定性
 
Treatment of unstable intertrochanteric fracture with compressive sliding hip screw
Abstract:

Objective:To study the clinical results of the treatment of unstable intertrochanteric fracture with compressive sliding hip screw

Methods:42 patients with unstable intertrochanteric fracture were treated with compressive sliding hip screw.According to Evans modified classification method,7 cases were of Ⅲ type,24 of Ⅳ type and 11 of Ⅴ type.

Results:All the fractures were reduced and fixed well.After an average follow up of 17 months,all were cured.There were no varus deformity of hip joint,no break of the plates or loosening of the screws and the functional recovery of hip joint was satisfactory.

Conclusion:The compressive sliding hip screw has merits of stable fixation,no complications and convenience for early exercises.This is an effective internal fixation for the treatment of unstable intertrochanteric fractures.
KEYWORDS:Femoral fracture Fracture fixation Fracture  unstable
 
引用本文,请按以下格式著录参考文献:
中文格式:蔡贤华,徐永年,尹成忠,王庆,罗芝荣,唐运章,时宏富,刘曦明,徐峰,苏红军.加压滑动鹅头钉治疗股骨转子间不稳定型骨折[J].中国骨伤,2001,14(11):659~661
英文格式:CAI Xian hua,XU Yong nian,YIN Cheng zhong.Treatment of unstable intertrochanteric fracture with compressive sliding hip screw[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(11):659~661
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