首页 | 本学科首页   官方微博 | 高级检索  
   检索      

锁定型gamma钉与普通型gamma钉、动力髋螺钉治疗不稳定性股骨粗隆间骨折的 临床疗效比较
引用本文:荣辉,韩康,卞娜,陈翔,赵锡武,吴震东,何帅,黄宰宇,刘丹,赵廷宝,张磊.锁定型gamma钉与普通型gamma钉、动力髋螺钉治疗不稳定性股骨粗隆间骨折的 临床疗效比较[J].现代生物医学进展,2014,14(29):5716-5719.
作者姓名:荣辉  韩康  卞娜  陈翔  赵锡武  吴震东  何帅  黄宰宇  刘丹  赵廷宝  张磊
作者单位:济南军区总医院脊髓修复科;第四军医大学唐都医院全军骨科中心暨全军骨肿瘤研究所;解放军一一八医院骨科
基金项目:温州市科技计划项目(Y20100220);国家自然科学基金项目(81201633)
摘    要:目的:比较锁定型γ钉(Locking Gamma Nail,LGN)、普通型γ钉(Traditional Gamma Nail,TGN)和动力髋螺钉(Dynamic Hip Screw,DHS)治疗不稳定性股骨粗隆间骨折的临床疗效和安全性。方法:选择2009年1月至2011年1月在我院分别接受锁定型γ钉(A组)、普通型γ钉(B组)和动力髋(C组)内固定治疗的随访资料完整的患者共92例。记录和比较三组患者的手术时间、术中出血量、骨折愈合时间及末次髋关节功能评分等相关数据。结果:A组、B组和C组的手术时间、术中出血比较有统计学差异(均P<0.01),但A、B组之间无明显统计学差异;A组和B组、C组的骨折愈合时间、髋关节功能评分比较差异均有统计学意义(均P<0.01),B、C组之间无明显统计学意义。结论:LGN的固定效果和生物力学性能良好,操作简便,固定牢固,整体治疗效果优于TGN和DHS,可作为临床治疗不稳定性股骨粗隆间骨折的首选。

关 键 词:锁定型γ钉  动力髋螺钉  普通型γ钉  不稳定性股骨粗隆间骨折  临床疗效

A Comparison of the Clinical Efficacy of Locking Gamma Nail, Traditional Gamma Nail and Dynamic Hip Screw in the Treatment of Unstable Femoral Intertrochanteric Fracture
RONG Hui,HAN Kang,BIAN N,CHEN Xiang,ZHAO Xi-wu,WU Zhen-dong,HE Shuai,HUANG Zi-yu,LIU Dan,ZHAO Ting-bao,ZHANG Lei.A Comparison of the Clinical Efficacy of Locking Gamma Nail, Traditional Gamma Nail and Dynamic Hip Screw in the Treatment of Unstable Femoral Intertrochanteric Fracture[J].Progress in Modern Biomedicine,2014,14(29):5716-5719.
Authors:RONG Hui  HAN Kang  BIAN N  CHEN Xiang  ZHAO Xi-wu  WU Zhen-dong  HE Shuai  HUANG Zi-yu  LIU Dan  ZHAO Ting-bao  ZHANG Lei
Institution:RONG Hui;HAN Kang;BIAN Na;CHEN Xiang;ZHAO Xi-wu;WU Zhen-dong;HE Shuai;HUANG Zai-yu;LIU Dan;ZHAO Ting-bao;ZHANG Lei;Department of Spinal Cord Injury, General Hospital of Jinan Military Area Command of Chinese PLA;Department of Orthopedic Surgery Center and Orthopedic Oncology Institute of PLA,Tangdu Hospital, Fourth Military Medical University;Department of Orthopaedic surgery, The 118th Hospital of PLA;
Abstract:Objective:To compare the clinical efficacy and safety of Locking Gamma Nail (LGN), Traditional Gamma Nail(TGN) and Dynamic Hip Screw (DHS) in the the treatment of unstable femoral intertrochanteric fracture.Methods:92 cases of femoral intertrochanteric fracture treated in our hospital from January, 2009 to January 2011 were evaluated under the groups of Group A (Locking Gamma Nail), Group B (Traditional Gamma Nail) and Group C (Dynamic Hip Screw). The operation time, intraoperative blood loss, healing time of fracture and last function score of hip joint were compared among different groups.Results:There were distinguished differences in the operation time and intraoperative blood loss between Group A and Group C, Group B and Group C(P<0. 01), but no significant difference was observed between Group A and Group B. For the healing time of fracture and last function score of hip joint, Group A showed shorter healing time of fracture and higher function score of hip joint compared with the other two groups (P<0.01).Conclusion:The Locking Gamma Nail internal fixation showed superior biomechanical properties than traditional Gamma nail methods, it might be efficient in the treatment of unstable femoral intertrochanteric fracture with firmer fixation, simpler operation methods as well as earlier rehabilitation exercise compared to the traditional Gamma Nail and DHS and could be used as the first choice of the treatment of unstable femoral intertrochanteric fracture.
Keywords:Locking Gamma Nail  Dynamic Hip Screw  Traditional Gamma Nail  Unstable intertrochanteric femoral fracture  Clinical efficacy
本文献已被 CNKI 等数据库收录!
点击此处可从《现代生物医学进展》浏览原始摘要信息
点击此处可从《现代生物医学进展》下载免费的PDF全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号