股骨转子下骨折手术疗效分析外科学骨外科专业论文.docxVIP

中文摘要 中文摘要 股骨转子下骨折手术疗效分析 有限切开结合环扎的病例，男7例，女4例；平均年龄53．5岁(43．78岁)。骨折根据 Seinsheimer分型：其中3型3例，4型5例，5型3例。本组随访6～12月，所有骨折均愈合， 平均骨折愈合时间4．5月。根据Harris评分优lOi歹0，良1例，优良率为100％。 结论：髓内固定和钢板髓外固定治疗股骨转子下骨折均可以取得良好的临床疗 效，但髓内固定在手术时间、切口、出血量等方面有一定优势。有限切开结合环扎辅 助固定是～种可靠的方法，骨折复位情况、术中手术操作的技巧对手术效果及术后临 床疗效有重要的意义。 关键词：股骨转子下骨折；手术治疗；有限切开；环扎；临床疗效；Harris评分 作 者：周祖彬 指导老师：蒋盎 II 万方数据 股骨转子下骨折手术疗效分析 股骨转子下骨折手术疗效分析 英文摘要 Clinical Outcomeof Subtrochanteric Fractures with Operative Treatment Abstract Objective：By retrospective study of operative treatment of subtrochanteric femur fractures，wecompare the clinical omcome of Gamma3 intramedullary nailing and LISS plate as the internal fixation，and analyze efficacy of limited incision谢t11 cable cerclage， to supply more informationfor diagnosis and treatment of subtrochanteric fractures． Material and Method：Subtrochanteric fracture cases from February 201 1 to February 20 1 4 in our hospital were retrospectively studied．A total of 1 49 cases treated with Gamma 3 nail or LISS plate wereinvestigated，wherein76 cases with Gamma3 intramedullary nail treatment and 73 cases with inverted LIS S plate treatment．The two groups were recorded demographic data,type of fracture，complications，clinical results and other relevant information．Postoperative follow—up included radiography and hip function score．General results of the operation and Harris Hip Score(HHS)were compared． 76 cases with intramedullary fixation were followed up for 6—24 months．1 1 cases with intramedullary fixation combing cable cercalage were studied retrospectively． Results：1 49 caseswere followed up，which weredivided into Gamma 3 nail group(I group)and inverted LISS plate fixation group(IX group)．Gamma3 group included 76 cases， wherein 40 males and 36