微创动力髋螺旋刀片系统(DHSA)在治疗股骨转子间骨折中的应用
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摘要
目的探讨使用微创动力髋螺旋刀片系统(DHSA)治疗股骨转子间骨折的临床疗效。方法 2008年9月-2012年6月应用微创动力髋螺旋刀片系统治疗股骨转子间骨折26例,骨折按AO分型,A1型18例,A2型7例,A3型1例。结果 26例随访5-12个月,所有骨折均愈合,无内固定失效及髋内翻情况发生。根据Clawson功能标准评定:优21例,良4例,可1例,无差病例。结论微创动力髋螺旋刀片系统治疗股骨转子间骨折内固定可靠,创伤小,术后髋关节功能恢复好,是一种有效的治疗方法。
Objective To investigate the clinical results of minimally invasive dynamic hip screw blade system in treatment of femoral intertrochanteric fractures.Methods 26 cases of femoral intertrochanteric fracture were treated with minimally invasive dynamic hip screw blade system fromSeptember 2008 to June 2012.According to AO classification there were type A1 18 cases,type A2 7 cases,type A3 1 cases.Results 26cases were followed up for 5 to12months(average 11 months),all patients obtained bone union,none uneffective of internal fixation.No fixation failur and varus happen.According to the Clawson,s criteria,the results were excellent in 21 cases,good in 4 cases,fair in 1 case.No difference cases.Conclusion Treatment of femoral intertrochanteric fractures with minimally invasive dynamic hip screw blade system is an effective method.
Objective To investigate the clinical results of minimally invasive dynamic hip screw blade system in treatment of femoral intertrochanteric fractures.Methods 26 cases of femoral intertrochanteric fracture were treated with minimally invasive dynamic hip screw blade system fromSeptember 2008 to June 2012.According to AO classification there were type A1 18 cases,type A2 7 cases,type A3 1 cases.Results 26cases were followed up for 5 to12months(average 11 months),all patients obtained bone union,none uneffective of internal fixation.No fixation failur and varus happen.According to the Clawson,s criteria,the results were excellent in 21 cases,good in 4 cases,fair in 1 case.No difference cases.Conclusion Treatment of femoral intertrochanteric fractures with minimally invasive dynamic hip screw blade system is an effective method.
引文
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[4]Wong TK.A double-blind,prospective,randomised,controlled clinical trial of minimally[J].Injury,2009,40:412-417.
[5]Strauss E,Frank J,Lee J,et al.Helical blade versus sliding hip screw for treatment of unstable interochanteric hio fractures:a biomechanical evaluation[J].Injury,2006,10:984.
[6]张韶民,王明君,苗卫东,等.动力髋螺旋刀片系统治疗老年股骨粗隆间骨折[J].新乡医学院学报,2011,28(3):377-379.
[7]刘璠,茹江英,顾永强,等.微创内固定系统治疗复杂性膝关节周围骨折的近期疗效[J].中华创伤骨科杂志,2005,(7):1015.
[8]Park SY,Park J,Rhee DJ,et al.Anterior or posterior obliquity of the lag screw in the lateral view-does it affect the sliding characteristics on unstable trochanteric fracture[J].Injury,2007,38(7):785.
[9]张经纬,蒋垚,张先龙,等.股骨转子间骨折不同手术方法比较[J].中华骨科杂志,2005,25(1):7-11.
[2]Simmermacher RK,Ljungqvist J,Bail H,et al.The new proximal femoral nail antirotation in daily practice:results of a multicentre clinical study[J].Injury,2008,39(9):932.
[3]黄峰,陈允震,等.股骨粗隆间骨折治疗进展[J].中国骨与关节损失杂志,2009,24(6):570-572.
[4]Wong TK.A double-blind,prospective,randomised,controlled clinical trial of minimally[J].Injury,2009,40:412-417.
[5]Strauss E,Frank J,Lee J,et al.Helical blade versus sliding hip screw for treatment of unstable interochanteric hio fractures:a biomechanical evaluation[J].Injury,2006,10:984.
[6]张韶民,王明君,苗卫东,等.动力髋螺旋刀片系统治疗老年股骨粗隆间骨折[J].新乡医学院学报,2011,28(3):377-379.
[7]刘璠,茹江英,顾永强,等.微创内固定系统治疗复杂性膝关节周围骨折的近期疗效[J].中华创伤骨科杂志,2005,(7):1015.
[8]Park SY,Park J,Rhee DJ,et al.Anterior or posterior obliquity of the lag screw in the lateral view-does it affect the sliding characteristics on unstable trochanteric fracture[J].Injury,2007,38(7):785.
[9]张经纬,蒋垚,张先龙,等.股骨转子间骨折不同手术方法比较[J].中华骨科杂志,2005,25(1):7-11.