目的:综合分析动力髋螺钉(dynamic hip screw,DHS)在不同类型转子间骨折中的疗效,着重探讨其在反转子间骨折中的应用价值。方法:根据AO分类,将转子间骨折分潍A1、A2、A33型,每型又分为3个亚型。对DHS治疗的102例股骨转子间骨折的总体疗...目的:综合分析动力髋螺钉(dynamic hip screw,DHS)在不同类型转子间骨折中的疗效,着重探讨其在反转子间骨折中的应用价值。方法:根据AO分类,将转子间骨折分潍A1、A2、A33型,每型又分为3个亚型。对DHS治疗的102例股骨转子间骨折的总体疗效和各不同类型转子间骨折的疗效进行对比分析。结果:DHS治疗102例转子间骨折总体优良率81%。A1型优良率95%,A2型优良率84%。反转子间骨折优良率48%。反转子间骨折优良率和总体优良率及A1型或A2型优良率间差异均有统计学意义(P<0.01)。反转子间骨折手术失败率与总体手术失败率及A2型手术失败率间差异有统计学意义(P<0.05)。结论:DHS对大多数标准转子间骨折疗效良好,对反转子间骨折疗效欠佳。展开更多
Objective To summarize the experiences of internal fixation with Dynamic Hip Screw(DHS)in treating femoral peritrochanteric fracture.Methods 89 cases of femoral peritrochanteric fracture,who were treated with DHS, wer...Objective To summarize the experiences of internal fixation with Dynamic Hip Screw(DHS)in treating femoral peritrochanteric fracture.Methods 89 cases of femoral peritrochanteric fracture,who were treated with DHS, were followed up and reviewed.In all these cases,according to Evans types,there were 25 type I,37 type II,19 type III,6type IV,2 type V.Results The cases were followed up from 8 to 36 months ,averaging 18 months,2 died of cardiac disorder and l died of cerebral accident.The rest realized fracture union,and Harris scores for hip functional were from 55 to 90,averaging 82.Conclusion Reasonable utilizing DHS results in a satisfactory function recovery in treatment of peritrochanteric fracture of femur.The internal fixation may be solid and reliable, the complications decrease, and the averaging period of fracture union also is shortened.展开更多
文摘目的:综合分析动力髋螺钉(dynamic hip screw,DHS)在不同类型转子间骨折中的疗效,着重探讨其在反转子间骨折中的应用价值。方法:根据AO分类,将转子间骨折分潍A1、A2、A33型,每型又分为3个亚型。对DHS治疗的102例股骨转子间骨折的总体疗效和各不同类型转子间骨折的疗效进行对比分析。结果:DHS治疗102例转子间骨折总体优良率81%。A1型优良率95%,A2型优良率84%。反转子间骨折优良率48%。反转子间骨折优良率和总体优良率及A1型或A2型优良率间差异均有统计学意义(P<0.01)。反转子间骨折手术失败率与总体手术失败率及A2型手术失败率间差异有统计学意义(P<0.05)。结论:DHS对大多数标准转子间骨折疗效良好,对反转子间骨折疗效欠佳。
文摘Objective To summarize the experiences of internal fixation with Dynamic Hip Screw(DHS)in treating femoral peritrochanteric fracture.Methods 89 cases of femoral peritrochanteric fracture,who were treated with DHS, were followed up and reviewed.In all these cases,according to Evans types,there were 25 type I,37 type II,19 type III,6type IV,2 type V.Results The cases were followed up from 8 to 36 months ,averaging 18 months,2 died of cardiac disorder and l died of cerebral accident.The rest realized fracture union,and Harris scores for hip functional were from 55 to 90,averaging 82.Conclusion Reasonable utilizing DHS results in a satisfactory function recovery in treatment of peritrochanteric fracture of femur.The internal fixation may be solid and reliable, the complications decrease, and the averaging period of fracture union also is shortened.
