简介:摘要目的应用股骨近端短重建钉(INTERTAN)治疗老年股骨粗隆间骨折的疗效分析方法2010.10-2014.4使用INTERTAN(Smith-Nephew)治疗老年股骨转子间骨折116例,通过术后随访获得疗效资料结果103例患者获得术后随访,时间3-18月,平均采用髋关节Harris评分,为65-96分(平均88±3.1);54例优,37例良,9例可,3例差.优良率为88.3%,其中85例于术后12周骨折完全愈合,所有病例于术后24周均达骨性愈合;1例因内翻畸形出现拉力螺钉切出.结论INTERTAN具有其独特之处,用于治疗老年股骨粗隆间骨折具有创伤小、出血少、骨折端线性可控加压、内固定牢固、抗旋转及抗切出能力较强的优点;是较好的髓内固定方法之一.关键词INTERTAN;股骨粗隆间骨折;疗效EfficacyAnalysisofTriGenInterTANHipFractureNailingSystemfor103CasesofIntertrochantericFracturePatientsAbstractObjectiveTodiscusstheindicationsandtheclinicaleffectsofTriGenInterTANhipfracturenailingsystemforintertrochantericfracture.MethGodsFromOctober2010toApril2014,116patientswithintertrochantericfracturesweretreatedbyTriGenInterTANhipfracturenailingsystem.Follow-updatawerecollected.ResultsAmongallpatients,103patientswerefollowed-up,from3monthsto18months.Harrishipscorewas88±3.1onaverage.54caseswereexcellent,37casesweregood,9caseswerefairand3caseswerebad.85casesgotfracturehealedafter12weeks.Andallcaseswerehealedin24weeks.OnGlyoneofthemhadtensionscrewcutoutbecauseofvarusdeformity.ConclusionINTERTANcanbeusedtotreatintertrochantericfractureinelderpatientswithadvantKaegyeswoofrdssmalltrauma,lessbleeding,controllablepressurizingoffracturelineandstrongrotatingandshearingresistanceability.INTERTAN;Intertrochantericfracture;Curativeeffect中图分类号R687.3文献标识码B文章编号1008-6315(2015)10-0482-02
简介:摘要目的探讨股骨近端抗旋髓内钉(PFNA)治疗老年股骨粗隆间骨折的临床效果.方法观察组与对照组各48例老年股骨粗隆间骨折患者分别采取PFNA治疗、动力髋螺钉(DHS)治疗;对比两组治疗效果.结果观察组手术时间、术中出血量以及骨折愈合时间均显著短于对照组(P<0.05);观察组术后半年Harris髋关节评分优良率(95.83%)显著高于对照组(81.25%),两组数据差异明显(P<0.05).结论老年股骨粗隆间骨折采取PFNA治疗效果显著;值得采纳应用.关键词PFNA;DHS;老年股骨粗隆间骨折AbstractPurposeExplorethefemoralproximalantirotaryintramedullarynailing(PFNA)fortreatmentofsenilefemoralintertrochantericfracture.MethodsObservationgroupandthecontrolgroup(n=48)inelderlypatientswithfemoralintertrochantericfracturerespectivelytakePFNAtreatment,dynamGichipscrew(DHS);Comparedtotwogroupsoftherapeuticeffect.ResultsObservationgroupoperationtime,intraoperativebloodlossandfracturehealingtimeweresignificantlyshorterthanthecontrolgroup(P<0.05);SixmonthsafterobservinggroupHarrishipscorewas(95.83%)wassignificantlyhigherthanthatofcontrolgroup(81.25%),twogroupsofdatadifferenceobvious(P<0.05).ConclusionTheelderlyfemoralintertrochantericfracturestreatedwithPFNAeffectiKseyobwvioorudss;Worthadoptedapplication.PFNA.DHS.Theelderlyfemoralintertrochantericfractures中图分类号R683文献标识码B文章编号1001-5302(2015)09-0715-02
简介:哗啦一声,秦湖水面浮出一个人。他先把手中昏迷的秦朝女孩推到快艇上,呼的一声,潜水服的头盔被摘下来,原来是胖厂长。几个人陆续冒出水面,牛猛和巴豆急忙上前拉他们,倪蔚蔚和杨柔也来帮忙。"这个人是谁?"花朵指着神秘女孩问。"她是秦朝人,"白天摘下头盔说,"被周先生强行掳来的。""秦朝人?"花朵质疑,"不可能吧?""别说那么多了,"胖厂长站起来一挥手,"马上启航,回去一审问就知道真相了!"回到厂里,白天和艾因坦去洗澡换衣服,胖厂长却等不及了,一身蓝藻的臭味儿就开始审讯。一盆冷水泼到秦朝女孩的身上,她缓缓抬起头,迷惑地瞧着眼前的人,然后又瞄瞄四周。这时,