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微创DCS治疗股骨粗隆下骨折

微创DCS治疗股骨粗隆下骨折

【摘要】目的探讨股骨粗隆下骨折的治疗方法及疗效。方法对18例股骨粗隆下骨折的患者采用微创原则,采用DCS固定。结果18例患者经6~14月随访,随访病例均骨性愈合,髋关节功能锻炼Sanders评分优良率达92%。结论采用微创原则运用DCS治疗股骨粗隆下骨折,固定坚强可靠,病员恢复好,适用于粗隆下骨折的手术治疗。

【关键词】微创股骨粗隆下骨折DCS

DCS Minimally Invasive for Treatment of Subtrochanteric Femoral Fracture Traditional Chinese Medicine Hospital of Shehong County . Luo liang,Luo Ji-yang,Li Chang-shou,et al.Shehong 629200,Sichuan ,China.

【Abstract】Objective Femur fracture treatment and efficacy.Methods 18 cases of fracture of the femur under the principle of minimally invasive patients, the use ofDCS fixed.Result 18 cases of patients with 6-14 months follow-up, patients were followed-up bone healing, hip exercise good score sanders rate of92%.Conclusion the application of the principle of minimally invasive treatment ofDCS under the femur fracture, a strong and reliable fixed, the restoration of good patient for the next tuberosity fracture surgery.

【Key words】Minimally;Femur fracture;DCS

股骨粗隆下骨折是老年人粗隆部常见骨折之一,临床上以往多采用牵引治疗,效果往往不理

想,近年笔者采用微创DCS内固定治疗18例,取得了很好的疗效,现报告如下:

1 临床资料

1.1 一般资料18例中,男12例,女6例,车祸伤8例,不慎跌倒造成骨折10例。按Seinsheimer-Bergman分型,其中Ⅱ型6例,Ⅲ型6例,Ⅳ型4例,Ⅴ型2例,平均年龄47.5岁,左侧11例,右侧7例,伤后手术时间3~10d,平均