摘要
目的：探索适合老年型骨质疏松症患者转子间骨折可靠的个体化的内固定方法。方法：回顾分析124例老年型骨质疏松症患者转子间骨折运用多枚空心钉、PCCP、髓内钉系统和liss系统的治疗资料。结果：（1）骨折平均临床愈合时间9.1周,其中多枚空心钉固定患者骨折平均临床愈合时间9.6周;除多枚空心钉固定患者有轻度髋内翻外,其他患者均无髋内翻;多枚空心钉固定患者及Singh指数2、3级患者术后8周下地活动良好,其他患者3-4周下地活动。（2）12-24周按黄公怡疗效评定标准：优91.5%、良8.5%、差0.0%。结论：（1）PCCP和髓内钉系统治疗老年型骨质疏松症患者转子间骨折能达到固定可靠、支撑牢固、功能恢复理想的疗效,但转子间粉碎性骨折患者慎用.（2）liss系统具有对转子间粉碎性骨折固定可靠、转子区骨量丢失较少、创伤小等优点,但支撑牢固性欠缺所以不宜早期患肢部分负重锻炼。（3）多枚空心钉固定的牢固性和支持性均不是很理想,对不能耐受较大创伤手术患者是解决绝对卧床和缩短骨折愈合时间较为理想方法。
Objective： To study the individualized internal fixation treatment of elderly patients with osteoporotic intertroehanteric fracture.Methods：124 old patients with osteoporotic intertrochanteric fracture were investigated,according to different fixation methods,were randomly divided into the hollow nail group,PCCP group,bone nail group,Liss group.Results： The mean healing time of fracture was 9.1 weeks,and the mean healing time of the hollow nail group was 9.6 weeks.In above four treatments,the hollow nail group only happened to coxavara.The Singh index of the hollow nail group was 2 or 3,and low limb function were good postoperation 8 weeks.All cases were followed up from 12 to 24 weeks,the excellent rate was 91.58%,good 8.5%.Conclusions： The methods of PCCP and bone nail fixation are simple,fixed firmly and excellent eficacy in treatment of elderly patients with osteoporotic intertrochanteric fracture,but the thrypsis patients were given cautiously.The Liss system is simple,fixed firmly and less injury for elderly patients with osteoporotic intertrochanteric fracture.The method of the hollow nail is less fixed firmly,less pedestal in treatment of elderly patients with osteoporotic intertrochanteric fracture.
出处
《中国伤残医学》
2011年第3期1-2,共2页
Chinese Journal of Trauma and Disability Medicine
