[1]郑昆仑,王爱国,谷福顺,等.手法复位加单臂外固定架治疗高龄股骨 转子间骨折的临床研究[J].中医正骨,2011,23(07):3-5.
　ZHENG Kun-lun*,WANG Ai-guo,GU Fu-shun,et al.Clinical study on the treatment of intertrochanteric fracture in aged patients through the method of manipulative reduction combined with single-arm external fixator[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(07):3-5.
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手法复位加单臂外固定架治疗高龄股骨 转子间骨折的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期数:
2011年07期
页码:
3-5
栏目:
临床研究
出版日期:
2011-07-30

文章信息/Info

Title:
Clinical study on the treatment of intertrochanteric fracture in aged patients through the method of manipulative reduction combined with single-arm external fixator
作者:
郑昆仑; 王爱国; 谷福顺; 信金党; 王绍海; 郭锐; 冯其金
天津中医药大学第二附属医院,天津 300150
Author(s):
ZHENG Kun-lun*; WANG Ai-guo; GU Fu- shun; et al.*
The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China
关键词:
髋骨折 正骨手法 外固定器 骨折固定术; 内 治疗; 临床研究性
Keywords:
Hip fractures;  Bone setting manipulation;  External fixators;  Fracture fixation; internal;  Therapies;  investigational
摘要:
目的:探讨手法复位加单臂外固定架治疗高龄股骨转子间骨折的临床疗效。方法:将符合要求的90例患者随机分为2组,治疗组60例,对照组30例。治疗组采用手法复位加单臂外固定支架固定治疗; 对照组采用动力髋螺钉固定治疗。分别观察记录2组患者的手术时间、术中出血量、骨折愈合时间及术后骨折并发症发生情况,并于患者骨折愈合后采用创伤性髋关节功能评分标准对患者进行髋关节功能评分。结果:①治疗组手术时间、术中出血量及骨折愈合时间均小于对照组(t=15.338,P=0.000; t=33.610,P=0.000; t=21.855,P=0.000),2组髋关节功能评分比较,差异无统计学意义(t=-1.720,P=0.090)。②术后对照组发生深部感染2例,髋内翻1例,螺钉松动部分退出1例,深静脉血栓形成3例; 治疗组无骨折并发症发生。结论:手法复位加单臂外固定架在恢复高龄股骨转子间骨折患者髋关节功能方面与动力髋螺钉固定相当,但手术时间短、术中出血量少、骨折愈合时间短、术后并发症也较少,是治疗高龄股骨转子间骨折的有效方法,值得推广应用。
Abstract:
Objective:To explore the clinical curative effect of manipulative reduction combined with single-arm external fixator on the intertrochanteric fracture in aged patients.Methods:90 patients met the criteria were randomly divided into 2 groups.60 cases in the treatment group were administrated with manipulative reduction combined with single-arm external fixator,while the others in the control group were administrated with dynamic hip screw fixation.The operation time,amount of blood loss,fracture healing time and postoperative fracture complications of the patients in the 2 groups were observed and recorded respectively.Hip functions of the patients were scored according to traumatic hip functional scoring standards after fracture healing for the patients.Results:①The operation time,amount of blood loss and fracture healing time of patients in the treatment group were all lower than those of patients in the control group(t=15.338,P=0.000; t=33.610,P=0.000; t=21.855,P=0.000).There was no statistical difference in the hip functional scores of the patients between the 2 groups(t=-1.720,P=0.090).②For the control group,deep infection occurred in 2 cases,coxa vara occurred in 1 case,loose screw with partial withdrawal occurred in 1 case and deep leg venous thrombosis occurred in 3 cases after the operation; while for the treatment group,there was no postoperative fracture complications.Conclusion:Although the method of manipulative reduction combined with single-arm external fixator has the clinical effects similar to dynamic hip screw fixation on recovering the hip functions for the aged patients with intertrochanteric fracture,it is an effective method with shorter operation time,less blood loss,shorter fracture healing time and less postoperative fracture complications,and it is worth popularizing in clinic.

参考文献/References:

[1] 孙树椿,孙之镐.临床骨伤科学[M].北京:人民卫生出版社,2006:508.
[2] 刘志雄.骨科常用诊断分类方法和功能结果评定标准[M].北京:北京科学技术出版社,2005:292.
[3] 罗伟,阴龙,朱兴文,等.老年股骨粗隆间骨折治疗方法探讨[J].中国修复重建外科杂志,2009,23(10):1209-1211.
[4] 霍华春,祝文刚,王炳军,等.微创理念手术治疗老年股骨近端骨折[J].中国骨与关节损伤杂志,2008,23(5):431-432.
[5] 金鸿宾,尚天裕.骨折治疗的回顾与思考[J].中国骨伤,2002,12(1):1-3.
[6] Boghdady GW,Shalaby M.Safety and reliability of external fixation for basicervical and intertrochanteric fractures in high-risk elderly patients[J].Strategies Trauma Limb Reconstr,2007,2(2-3):83-89.
[7] Karn NK,Singh GK,Kumar P,et al.Management of trochanteric fractures of the femur with external fixation in high-risk patients[J].Int Orthop,2009,33(3):785-788.

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更新日期/Last Update: 2011-07-30