LCP和DhS治疗老年不稳定型股骨粗隆间骨折的疗效分析

LCP和DhS治疗老年不稳定型股骨粗隆间骨折的疗效分析王俊丰;闻久全;朱明义;蒋阅

【期刊名称】《中国伤残医学》

【年(卷),期】2014(000)004

【摘要】目的：分析比较股骨近端解剖型锁定加压钢板（LCP）和动力髋螺钉（DhS）治疗老年不稳定型股骨粗隆间骨折的疗效，探讨2种方法的优缺点。方法：对121例老年股骨粗隆间骨折（EvansⅠ3、Ⅰ4 andⅡ），分别采用LCP和DhS进行治疗，从手术时间、术中出血量、骨折愈合时间、术后并发症、术后髋关节功能（harris 评分）等方面进行分析比较。结果：LCP组与DhS 组在手术时间、术中出血量方面无统计学意义（P＞0．05）；在内固定并发症、髋关节功能方面相比差异有统计学意义（P＜0．05）。结论：LCP较DhS在治疗老年不稳定型股骨粗隆间骨折有明显优势。%Objective:To discuss a reasonable treatment for unstable femoral intertrochanteric fracture in elderly osteoporosis patients by comparison of effects between DhS and LCP fixation .Methods:One hundred and twenty -one elder patients with unstable femoral inter-trochanteric fracture ( EvansⅠ3 、Ⅰ4 andⅡ) were followed up .They were treated with the two kinds of operations respectively:dynamic hip screw(DhS) and Locking Compression Plate (LCP).The data of each group were collected for statistical analysis on the following as-pects:operative time,blood loss,clinical healing time of fractures,posteroperative complications and functional outcome .Results:No differ-ences of the operative time and blood loss