| 锁定钢板与动力髋螺钉治疗股骨粗隆间骨折的临床对照试验 |
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Received:October 19, 2010
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| 期刊信息：《中国骨伤》2011年24卷，第3期，第242-244页 |
| DOI：10.3969/j.issn.1003-0034.2011.03.019 |
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目的：探讨锁定钢板治疗股骨粗隆间骨折的临床疗效。
方法：回顾性分析2006年2月至2008年12月收治的108 例股骨粗隆间骨折患者的临床资料。采用股骨近端锁定钢板治疗股骨粗隆间骨折51 例，男23例，女28例；年龄45～86岁，平均66.0岁；采用DHS治疗股骨粗隆间骨折57例，男26例，女31例，年龄43～81岁，平均64.1岁。观察手术时间、术中出血量、术后引流量、骨折临床愈合时间、术后并发症及术后髋关节功能恢复情况。术后髋关节功能按Harris评分评定。
结果：108例均获随访，时间8～24个月，平均12.5个月。锁定钢板组手术时间平均(87±14) min,术中出血量平均(367±213) ml,术后引流量平均(63±14) ml,骨折临床愈合时间平均(11.9±3.4)周，术后并发症7例，Harris评分平均(85±6)分；DHS组手术时间(115±23) min,术中出血量平均(582±243) ml,术后引流量平均(98±16) ml,骨折临床愈合时间平均(12.4±2.5)周，术后并发症9例，Harris评分平均(84±8)分。两组骨折愈合时间、术后并发症及髋关节功能恢复情况差异无统计学意义(P>0.05),手术时间、术中出血量及术后引流量差异有统计学意义(P<0.05).与DHS 组相比，股骨近端锁定钢板组手术时间短、术中出血量及术后引流量少。
结论：股骨近端锁定钢板操作简单、创伤小、固定牢靠 、并发症少，是治疗股骨粗隆间骨折的有效方法。 |
| [关键词]:股骨骨折 骨折固定术，内 病例对照研究 |
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| Case-control studies on locking plates and dynamic hip screw in treatment of intertrochanteric hip fractures |
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Abstract:
Objective: To explore the clinical effects of locking plates in the treatment of intertrochanteric hip fractures.
Methods: From February 2006 to December 2008,108 patients with intertrochanteric hip fractures treated with locking plate and DHS were retrospective analyzed. Fifty-one patients were treated with locking plates,including 23 males and 28 females,aged 45 to 86 years old(averaged 66.0 years old);and fifty-seven patients were treated with DHS,including 26 males and 31 females,aged 43 to 81 years old(averaged 64.1 years old). The outcome measures collected for statistical analysis on the following aspects:operative time,blood loss,drainage,healing time,complications and Harris scores.
Results: One hundred and eight patients were followed up ranging from 8 to 24 months(averaged 12.5 months). In locking plate group,the operative time was (87±14) minutes;blood loss was (367±213) ml;drainage was (63±14) ml;healing time was(11.9±3.4) weeks;7 patients had complications;and the Harriss score was(85±6). While in DHS group,the operative time was(115±23) minutes;blood loss was(582±243) ml;drainage was (98±16) ml;healing time was (12.4±2.5) weeks;9 patients had complications;and the Harriss score was(84±8). There were no significant differences in the healing time,complications and Harris scores between two groups (P>0.05),but there were significant differences in the operative time,blood loss,drainage between two groups(P<0.05). Comparing with DHS group,the locking plate group was of shorter operative time,fewer blood loss and drainage.
Conclusion: Proximal femoral locking plate is simple,minimally invasive,stable fixation with fewer complications,and is an effective method for intertrochanteric hip fractures. |
| KEYWORDS:Femoral fractures Fracture fixation,internal Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 罗湘平,何顺清,李治安.锁定钢板与动力髋螺钉治疗股骨粗隆间骨折的临床对照试验[J].中国骨伤,2011,24(3):242~244 |
| 英文格式: | LUO Xiang-ping,HE Shun-qing,LI Zhi-an.Case-control studies on locking plates and dynamic hip screw in treatment of intertrochanteric hip fractures[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(3):242~244 |
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