动力髋螺钉内固定治疗老年股骨粗隆间骨折45例报道

Dynamic hip screw in treatment of intertrochanteric fracture of femur in the elderly: A report of 45 cases

摘要: 目的: 观察动力髋螺钉(dynamic hip screw,DHS)内固定在老年股骨粗隆间骨折治疗中的应用及疗效。方法: 对我院2001年1月~2003年6月应用DHS内固定治疗的45例老年股骨粗隆间骨折的类型、手术方法、术前合并症、术后处理及疗效进行总结和随访。结果: 除1例因肺炎心衰死亡外,余44例皆获得随访,随访时间4~38个月。结果优84.1%,良11.4%,差4.5%。结论: DHS内固定治疗老年股骨粗隆间骨折固定可靠,并发症少,病死率低,能够早期下床活动,是老年股骨粗隆间骨折的理想治疗方法。

Abstract: Objective: To observe the effect of dynamic hip screw(DHS) in the treatment of intertrochanteric fractures of femur in the elderly.Methods: Forty-five elderly patients with intertrochanteric fractures of femur treated by DHS from Jan.2001 to Jun.2003 in our hospital were studied.The fracture type,surgical procedure,preexistent diseases before operation,treatment after operation and curative effect were summarized.Results: One case died of pneumonia and heart failure;the other 44 cases were followed up for an average of 21.6 months.The results were excellent in 84.1% cases,good in 11.4% cases and poor in 4.5% cases.Conclusions: DHS internal fixation is an ideal method for treatment of intertrochanteric fractures of femur in the elderly with the advantages of strong fixation,lower morbidity and mortality,and early recovery of motion.