中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (30): 5653-5656.doi: 10.3969/j.issn.1673-8225.2011.30.035

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

股骨转子间骨折髓外金属植入物固定系统的研究进展

时  明，李  涛   

  1. 滨州医学院附属淄博市中心医院微创脊柱外科，山东省淄博市255036
  • 收稿日期:2011-03-13 修回日期:2011-04-24 出版日期:2011-07-23 发布日期:2011-07-23
  • 通讯作者: 李涛，博士，硕士生导师，副主任，副教授，滨州医学院附属淄博市中心医院微创脊柱外科，山东省淄博市 255036 litaozhongguo@163.com
  • 作者简介:时明★，男，山东省济南市人，汉族，滨州医学院在读硕士，医师，主要从事微创脊柱、创伤骨科方面的研究。 shiming907@163.com

A review of different extramedullary fixation devices in intertrochanteric fractures

Shi Ming, Li Tao   

  1. Department of Minimally Invasive Spine Surgery, Zibo Central Hospital, Binzhou Medical University, Zibo  255036, Shandong Province, China
  • Received:2011-03-13 Revised:2011-04-24 Online:2011-07-23 Published:2011-07-23
  • Contact: Li Tao, Doctor, Master’s supervisor, Associate professor, Department of Minimally Invasive Spine Surgery, Zibo Central Hospital, Binzhou Medical University, Zibo 255036, Shandong Province, China litaozhongguo@163.com
  • About author:Shi Ming★, Studying for master’s degree, Physician, Department of Minimally Invasive Spine Surgery, Zibo Central Hospital, Binzhou Medical University, Zibo 255036, Shandong Province, China shiming907@163.com

PDF

343

被引次数

23

摘要：

背景：动力髋螺钉一直被认为是治疗股骨转子间骨折的“金标准”，但随着微创理念和髓外内固定技术的发展，应充分了解各种内置物的特点。
目的：评价不同髓外内固定系统对股骨转子间骨折临床效果、并发症及生物力学的影响。
方法：由第一作者检索1990/2010 PubMed数据及万方数据库有关不同髓外内固定系统在股骨转子间骨折临床效果、并发症及生物力学方面的文献。
结果与结论：具有两枚或三枚头颈螺钉的经皮加压钢板及股骨近端锁定钢板内固定技术，能更有效降低股骨头的切出率，提高抗旋转性，增加骨折断端的稳定性，避免髋内翻塌陷畸形；引入了微创理念，具有钉、板分体的经皮加压钢板和股骨近端锁定钢板内固定系统在手术操上更加方便，对骨折处软组织干扰小，出血少，且减少了手术时间。

关键词: 股骨转子间骨折, 金属植入物, 手术治疗, 髓外固定, 微创技术, 综述

Abstract:

BACKGROUND: With the aging of the population, the incidence of intertrochanteric fracture increases apparently. Such fracture is currently treated with surgery, and the dynamic hip screw (DHS) has always been considered as “gold standard”, but with the development of minimally invasive technique and extramedullary fixation technology, we should be fully aware of the characteristics of extramedullary fixation device, and strictly mastering the indications in order to reduce the surgical complications.
OBJECTIVE: To discuss and compare traits, operative efficacy, complications and biomechanics of the extramedullary fixation devices in intertrochanteric fracture.
METHODS: The first author retrieved PubMed and Wanfang databases for articles concerning operative efficacy, complications and biomechanics of the extramedullary fixation devices in intertrochanteric fracture published 1990/2010.
RESULTS AND CONCLUSION: In treatment of intertrochanteric fracture, percutaneous compression plate and LCP with two or three femoral neck screw nails can reduce the incidence of complications, prevent hip varus, provide reliable fixation; minimally invasive technique can reduce operative time and the amount of exposure.

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