| 荣辉 韩康 卞娜 陈翔 赵锡武 吴震东 何帅 黄宰宇 刘丹 赵廷宝 张磊.锁定型gamma钉与普通型gamma钉、动力髋螺钉治疗不稳定性股骨粗隆间骨折的
临床疗效比较[J].,2014,14(29):5716-5719 |
| 锁定型gamma钉与普通型gamma钉、动力髋螺钉治疗不稳定性股骨粗隆间骨折的
临床疗效比较 |
| A Comparison of the Clinical Efficacy of Locking Gamma Nail, TraditionalGamma Nail and Dynamic Hip Screw in the Treatment of Unstable FemoralIntertrochanteric Fracture |
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| DOI： |
| 中文关键词: 锁定型gamma钉 动力髋螺钉 普通型gamma钉 不稳定性股骨粗隆间骨折 临床疗效 |
| 英文关键词: Locking Gamma Nail Dynamic Hip Screw Traditional Gamma Nail Unstable intertrochanteric femoral fracture Clinical efficacy |
| 基金项目:温州市科技计划项目(Y20100220)；国家自然科学基金项目(81201633) |
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| 中文摘要: |
| 目的：比较锁定型gamma钉(Locking Gamma Nail，LGN)、普通型gamma钉(Traditional Gamma Nail，TGN)和动力髋螺钉(Dynamic Hip
Screw，DHS)治疗不稳定性股骨粗隆间骨折的临床疗效和安全性。方法：选择2009 年1 月至2011 年1 月在我院分别接受锁定型
酌钉(A 组)、普通型gamma钉(B 组)和动力髋(C 组)内固定治疗的随访资料完整的患者共92 例。记录和比较三组患者的手术时间、术中
出血量、骨折愈合时间及末次髋关节功能评分等相关数据。结果：A 组、B 组和C组的手术时间、术中出血比较有统计学差异(均
P<0.01)，但A、B 组之间无明显统计学差异；A组和B组、C 组的骨折愈合时间、髋关节功能评分比较差异均有统计学意义(均
P<0.01)，B、C 组之间无明显统计学意义。结论：LGN 的固定效果和生物力学性能良好，操作简便，固定牢固，整体治疗效果优于
TGN和DHS，可作为临床治疗不稳定性股骨粗隆间骨折的首选。 |
| 英文摘要: |
| Objective:To compare the clinical efficacy and safety of Locking Gamma Nail (LGN), Traditional Gamma Nail(TGN)
and Dynamic Hip Screw (DHS) in the the treatment of unstable femoral intertrochanteric fracture.Methods:92 cases of femoral
intertrochanteric fracture treated in our hospital from January, 2009 to January 2011 were evaluated under the groups of Group A
(Locking Gamma Nail), Group B (Traditional Gamma Nail) and Group C (Dynamic Hip Screw). The operation time, intraoperative blood
loss, healing time of fracture and last function score of hip joint were compared among different groups.Results:There were
distinguished differences in the operation time and intraoperative blood loss between Group A and Group C, Group B and Group C(P<0.
01), but no significant difference was observed between Group A and Group B. For the healing time of fracture and last function score of
hip joint, Group A showed shorter healing time of fracture and higher function score of hip joint compared with the other two groups
(P<0.01).Conclusion:The Locking Gamma Nail internal fixation showed superior biomechanical properties than traditional Gamma nail
methods, it might be efficient in the treatment of unstable femoral intertrochanteric fracture with firmer fixation, simpler operation
methods as well as earlier rehabilitation exercise compared to the traditional Gamma Nail and DHS and could be used as the first choice
of the treatment of unstable femoral intertrochanteric fracture. |
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