摘要
目的探讨动力髋钉和锁定钢板治疗老年股骨粗隆间骨折的临床效果。方法选取本院2011年5月。2013年4月老年股骨粗隆间骨折患者102例，根据术式分为两组，49例患者行动力髋钉治疗为对照组，53例患者行锁定钢板治疗为观察组，比较两组患者手术指征、术后功能恢复情况及并发症情况。结果观察组手术时间、术中出血量、术后住院时间、负重时间、骨折愈合时间均明显小于对照组，观察组术后功能优良率明显高于对照组，观察组并发症发生率明显低于对照组，差异均有统计学意义（P〈0．05）。结论与动力髋钉相比，锁定钢板造成的创伤更小，可明显缩短治疗时间，术后功能恢复情况更好，并发症较少，安全性更高。
Objective To investigate clinical effect of dynamic hip screw and locking plate in treatment for elderly patients with femoral intertrochanteric fracture. Methods 102 elderly patients with femoral intertrochanteric fracture were selected in hospital from May 2011 to April 2013.According to operation methods, patients were divided into two groups. 49 patients treated dynamic hip screw as control group. 53 patients treated locking plate as observation group. Operation indications, postoperative recovery Condition, complications were compared between two groups. Results Operation time, intraoperative bleeding volume, postoperative hospitalization time, load time, healing time of fracture in observation group were significantly less than control group. Excellent and good rate of postoperative functional recovery in observation group was significantly higher than control group. Complication rate in observation group was significantly lower than control group.Differences was significant （P 〈 0.05）. Conclusion Compared with dynamic hip screw, locking plate has less wound and better functional recovery, which can shorten treatment time and cause less complications, while security is higher.
出处
《中国医药科学》
2013年第18期207-208,共2页
China Medicine And Pharmacy
关键词
动力髋钉
锁定钢板
老年
股骨粗隆间骨折
Dynamic hip screw
Locking plate
Elderly
Femoral intertrochanteric fracture
