中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (35): 6643-6646.doi: 10.3969/j.issn.1673-8225.2011.35.043

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

经皮加压钢板系统治疗老年转子间骨折：与动力髋螺钉系统的比较

景成伟1，2，倪东馗1，郑道明1，王  沛2，朱福良1，庞小建1   

  1. 1天津医科大学第二医院骨科，天津市  300211
    2天津医科大学总医院骨科，天津市  300052
  • 收稿日期:2011-05-21 修回日期:2011-06-22 出版日期:2011-08-27 发布日期:2011-08-27
  • 作者简介:景成伟☆，男，1976年生，天津医科大学在读博士，主治医师，主要从事脊柱外科创伤骨科基础与临床的研究。

Treatment for intertrochanteric fractures in elderly patients Percutaneous compression plating system versus dynamic hip screw system

Jing Cheng-wei1, 2, Ni Dong-kui1, Zheng Dao-ming1, Wang Pei2, Zhu Fu-liang1, Pang Xiao-jian1   

  1. 1Department of Orthopedics, the Second Hospital of Tianjin Medical University, Tianjin  300211, China
    2Department of Orthopedics, the General Hospital School of Tianjin Medical University, Tianjin  300052, China
  • Received:2011-05-21 Revised:2011-06-22 Online:2011-08-27 Published:2011-08-27
  • About author:Jin Cheng-wei☆, Studying for doctorate, Attending physician, Department of Orthopedics, the Second Hospital of Tianjin Medical University, Tianjin 300211, China; Department of Orthopedics, the General Hospital of Tianjin Medical University, Tianjin 300052, China dr1722@163.com

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摘要：

背景：转子间骨折老年患者多合并骨质疏松和其他慢性疾病，保守治疗极易导致卧床并发症。
目的：评价经皮加压钢板系统内固定治疗老年转子间骨折的疗效。
方法：总结2007-06/2009-06收治经皮加压钢板系统植入治疗的转子间骨折老年患者32例和2007/2011采用动力髋螺钉系统治疗股骨转子间骨折患者40例的临床资料，比较2种方法手术操作时间、术中出血量及Harris评价术后疗效。
结果与结论：经皮加压钢板系统治疗手术操作时间、术中出血量明显少于动力髋螺钉系统治疗，而2组Harris评分优良率接近。说明经皮加压钢板内固定也可有效治疗老年人转子间骨折，且手术操作简单，有利于减少手术并发症发生。

关键词: 经皮加压钢板系统, 转子间骨折, 微创, 钢板, 内固定, 老年, 动力髋螺钉系统

Abstract:

BACKGROUND: Expectant treatment for intertrochanteric fractures in elderly patients with osteoporosis and other chronic diseases can easily lead to complications of lying in bed.
OBJECTIVE: To evaluate the results of percutaneous compression plating system (PCCP) for intertrochanteric fractures in elderly patients.
METHODS: Thirty-two cases of elderly intertrochanteric fractures treated with PCCP admitted from June 2007 to June 2009 and 40 cases of elderly intertrochanteric fractures treated with dynamic hip screw system (DHS) were reviewed. The operative bleeding, operative time and curative effect were compared.
RESULTS AND CONCLUSION: The operative bleeding and operative time in the patients receiving PCCP were significantly lower than those in the patients receiving DHS. There was not statistical significance between the curative effects about the two methods. PCCP applied in elderly patients with intertrochanteric fracture can get satisfactory effects, and the system is operated simply with minimally invasive surgery, which is beneficial to reduce surgical complications. 

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