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DHS联合拉力螺钉内固定治疗老年股骨粗隆间骨折探讨

Discuss of treatment with DHS and tensile screw for old geriatric femoral intertrochanteric fracture
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摘要 目的:探讨DHS联合拉力螺钉治疗老年股骨粗隆间骨折的临床疗效。方法:采用DHS联合拉力螺钉内固定治疗老年股骨粗隆间骨折治疗34例。结果:平均随访13个月,34例骨折全部愈合。1例出现轻度髋内翻,3例患肢短缩在1.0~1.5cm,均能独立步行,生活自理。21例已取出内固定,余13例患者因高龄而放弃内固定取出。结论:DHS与拉力螺钉进行老年股骨粗隆间骨折内固定治疗,手术较简单,稳定性好,是临床治疗老年股骨粗隆间骨折的一种合理选择。 Objective:To discuss clinical effects of treatment with DHS and tensile screw for the old geriatric femoral intertrochanteric fracture. Methods: 34 cases of the patients with geriatric femoral intertrochanteric fracture were received DHS and tensile screw. Results: 34 cases were all healed and they were followed up for 13 months on the average. There was only one case which was coxa vara in light degree; there were three cases whose limbs were shortened for 1.0-1.5 cm. But they can walk independently and take care of themselves. 21 cases had been taken out of internal fixations and other 13 cases gave up for the old age. Conclusion: The treatment with DHS and tensile screw for the old geriatric femoral intertrochanteric fracture is a reasonable selection in the clinical because the operation is simple and the stability is good.
出处 《中国医药导报》 CAS 2008年第15期184-185,共2页 China Medical Herald
关键词 股骨粗隆间骨折 DHS拉力螺旋 内固定 Femoral intertroehanteric fracture DHS tensile screw Internal fixation
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