老年股骨粗隆间骨折的手术治疗比非手术治疗的肢体畸形率降低,功能恢复更好,卧床及住院时间缩短,并发症和病死率明显降低[1]。外固定器手术是治疗老年股骨粗隆间骨折选择方式之一[2]。但单纯使用外固定架,因固定强度不足,存在术后固定针松动及髋内翻风险的缺陷[3,4]。笔者所在医院自2009-06至2012-03,采用外固定架结合空心加压螺纹钉治疗高龄股骨粗隆间骨折患者45例,取得满意疗效。
关键词
股骨粗隆间骨折 /
外固定器 /
空心加压螺纹钉
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Handoll H H, Parker M J. Conservative versus operative treatment for hip fractures in adults[J]. Cochrane Database Syst Rev,2008,(3):D337.
[2] Vossinakis I C, Badras L S. The external fixator compared with the sliding hip screw for pertrochanteric fractures of the femur[J]. J Bone Joint Surg Br,2002,84(1):23-29.
[3] 孔令英,刘瑞波. 外固定器治疗股骨粗隆间骨折并发症分析[J]. 中国骨伤,2001,14(7):396-398.
[4] Petsatodis G, Maliogas G, Karikis J, et al. External fixation for stable and unstable intertrochanteric fractures in patients older than 75 years of age: a prospective comparative study[J]. J Orthop Trauma,2011,25(4):218-223.
[5] Harris W H. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation[J]. J Bone Joint Surg Am,1969,51(4):737-755.
[6] Colwell C J. Rationale for thromboprophylaxis in lower joint arthroplasty[J]. Am J Orthop (Belle Mead NJ),2007,36(9 Suppl):11-13.
[7] 邱贵兴,杨庆铭,余楠生,等. 低分子肝素预防髋、膝关节手术后下肢深静脉血栓形成的多中心研究[J]. 中华骨科杂志,2006,48(2):32.
[8] 苗旭漫,吴其常,崔海峰,等. 外固定器治疗老年股骨粗隆间骨折73 例临床研究[J]. 实用骨科杂志,2009,15(2):137-139.