| 微创外固定支架治疗高龄股骨转子间骨折的病例对照研究 |
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Received:May 27, 2012
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| 期刊信息：《中国骨伤》2012年25卷，第10期，第804-806页 |
| DOI：10.3969/j.issn.1003-0034.2012.10.004 |
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目的：探讨微创外固定支架固定治疗高龄股骨转子间骨折的疗效.
方法：自2008年6月至2010年9月对32例高龄股骨转子间骨折合并内科疾病不能耐受开放手术的患者随机分为牵引组16例和在局麻或腰硬联合麻醉下进行微创外固定支架组16例.牵引组,男9例,女7例;年龄78～85岁,平均(79.19±1.83)岁.微创外固定支架组,男10例,女6例;年龄78～88岁,平均(79.69±2.41)岁.按Evans-Jensen分型 :牵引组Ⅰ型6例,Ⅱ型6例,Ⅲ型4例,平均卧床45 d.外固定支架组Ⅰ型7例,Ⅱ型5例,Ⅲ型2例,Ⅳ型2例,平均术后1周下床患肢不负重行走.
结果：牵引组 3例出现褥疮;3例出现心肺功能不全,家属放弃治疗自动出院;2例皮牵引出现皮肤压疮,2例胫骨结节牵引出现牵引针道感染,1例出现坠积性肺炎转内科.微创外固定支架组2例出现髋内翻,无不愈合病例发生.髋关节功能情况按Harris评分系统进行评价:牵引组优4例,良3例,可3例,差6 例;微创外固定支架组优10例,良3例,可2例,差1例.
结论：微创外固定支架是治疗高龄股骨转子间骨折的一种安全有效的方法. |
| [关键词]:股骨骨折 老年人 外固定器 病例对照研究 |
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| Treatment of intertrochanteric fractures in the advanced age patients by external fixators |
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Abstract:
Objective:To explore the effect of external fixators on the intertrochanteric fracture in the advanced age patients.
Methods:From June 2008 to September 2010,32 cases who failed to be operated by the regular open-sugery were divided into two groups randomly,16 of those were put in traction and conservative treatment;and the other 16 patients were treated by external fixation under anesthetization. In the traction group,there were 9 males and 7 females with an average age of (79.19±1.83) years ranging from 78 to 85. In the external fixation group,there were 10 males and 6 females with an average age of (79.69±2.41) years ranging from 78 to 88 years. Acoording to the Evans-Jensen classification,in the traction group,there were 6 cases of typeⅠ,6 cases of typeⅡ,7 cases of typeⅢand lieing in bed 45 days in average; in the external fixation group,there were 6 cases of typeⅠ,5 cases of typeⅡ,2 cases of typeⅢ,2 cases of typeⅣ,and non-weight loading walking after surgery in a week in average.
Results:In the traction group,3 of them had decubitus,3 of them had cardiopulmonary insufficiency,2 of them had infection from traction needles,and 1 of them had pneumonia; in the external fixatioin group,only 2 of them had coxa vara. Based on the Harris scoring for the assessment of the function of hip join,in the traction group,the results were excellent in 4 cases,good in 3,fair in 3,poor in 6; in the external fixation group,the results were excellent in 10 cases,good in 3,fair in 2,poor in 1.
Conclusion:Thus,the use of external fixation on the intertrochanteric fracture is a strong safe and effective method in treating intertrochanteric fracture of the advanced age patients. |
| KEYWORDS:Femoral fractures Aged External fixators 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: | 王俊义.微创外固定支架治疗高龄股骨转子间骨折的病例对照研究[J].中国骨伤,2012,25(10):804~806 |
| 英文格式: | WANG Jun-yi.Treatment of intertrochanteric fractures in the advanced age patients by external fixators[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(10):804~806 |
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