| 张丛笑杨明连刘新房魏更生吴京亮.老年粗隆部骨折多种内固定方式的选择[J].,2012,12(25):4937-4939 |
| 老年粗隆部骨折多种内固定方式的选择 |
| Selection of Internal Fixation Methods for Femoral IntertrochantericFractures in Aged Patients |
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| DOI： |
| 中文关键词: 粗隆部骨折 内固定 DHS Gamma 钉 PFNA |
| 英文关键词: Femoral trochanter fracture Internal fixation DHS Gamma Nail PFNA |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨老年人股骨粗隆部骨折的不同内固定术式选择原则。方法：对78 例老年人（平均年龄76 岁）股骨粗隆部骨折根
据Evans 分型及健康状况应用不同的内固定治疗，其中动力髋螺钉（DHS）14 例、Gamma 钉22 例、股骨近端防旋转髓内钉（PFNA）
42 例。结果：78 例平均随访16.5 个月，按Harris 评分标准，优良率84.6%。结论：根据Evans 分型及健康状况选择不同的内固定手
术方式均可以获得较好的手术效果，而PFNA 具有最短的手术时间和最少的失血量，因此更适合高龄的患者。 |
| 英文摘要: |
| Objective: To explore the best choice of operative methods of internal fixation in aged patients with femoral intertrochanteric
fractures. Methods: 78 cases of intertrochanteric fracture patients with average ages of 76 were treated with different internal
fixation methods. According to Evans classification system, 14 cases were fixed with DHS, 22 cases were fixed with Gamma nail, 42 cases
were fixed with PFNA. Results: All the 78 patients were followed- up for 16.5 months on average, the excellent and good rate is 84.6%
in Harris score. Conclusions: Evans classification system is helpful for selecting operative method. The clinical result can be assured by
choosing the right operative method. PFNA is especially suitable for elderly patients due to the shortest operation time and the least blood
lost. |
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