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[1]刘丹,吴震东,黄宰宇,等."静力性髋螺钉治疗股骨粗隆间不稳定性骨折的临床研究"[J].医学研究与战创伤救治(原医学研究生学报),2009,11(05):402-404.
　LIU Dan,WU Zhen-dong,HUANG Zai-yu,et al.Clinical research of unstable intertrochanteric fracture with static hip screw[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(05):402-404.
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"静力性髋螺钉治疗股骨粗隆间不稳定性骨折的临床研究"()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第11卷
期数:
2009年05期
页码:
402-404
栏目:
出版日期:
2009-09-20

文章信息/Info

Title:
Clinical research of unstable intertrochanteric fracture with static hip screw
作者:
刘丹1; 吴震东1; 黄宰宇1; 张磊1; 王勇2; 应志豪1; 冯坚固1; 王圣斌1
1．解放军118临床部骨科；2．温州市中西医结合医院骨科，浙江温州325000
Author(s):
LIU Dan1;  WU Zhen-dong1;  HUANG Zai-yu1;  ZHANG Lei1;  WANG Yong2;  YING Zhi-hao1;  FENG Jian-gu1;  WANG Sheng-bin1
"1. Department of Orthopaedics, the 118th Clinical Branch of PLA; 2. Department of Orthopaedics, Chinese and Western Hospital, Wenzhou 325000, Zhejiang, China"
关键词:
静力性髋螺钉; 股骨粗隆间骨折; 髋内翻; 骨折内固定
Keywords:
Static hip screw;  Intertrochanteric fracture;  Coxa vara;  Fracture internal fixation
分类号:
R687.3+2
DOI:
-
文献标志码:
A
摘要:
"目的探讨静力性髋螺钉(SHS)的设计原理及对股骨粗隆间不稳定性骨折的治疗效果。方法2004年8月~2008年10月采用SHS治疗48例股骨粗隆间不稳定性骨折并观察骨折愈合、 髋关节功能恢复、髋内翻、骨折断端短缩及内固定失败等并发症的发生情况。根据Evans分型，ⅢA型36例，ⅢB型3例，Ⅳ型7例，反粗隆EvansⅤ型2例。结果43例获随访，随访时间 8~23个月，平均11个月。所有骨折在11~20周愈合，平均愈合时间14周，无髋内翻、头颈部旋转、拉力螺钉切割股骨头颈及内固定断裂等并发症。按董纪元等关节疗效标准，优21例 ，良19例，可3例，无差级病例，优良率为93%。结论SHS的设计消除了动力髋螺钉(DHS)的动力性滑动加压作用，对股骨粗隆间不稳定性骨折起到了“桥式”支撑作用，很好地维持 了骨折的稳定，能有效预防髋内翻、股骨头颈旋转、骨折断端短缩及螺钉切割股骨头颈等并发症的发生。"
Abstract:
"ObjectiveTo investigate the principle of the design of static hip screw (SHS) and the effects of the SHS in fixation of unstable intertrochanteric fracture. Methods From August 2004 to October 2008, 48 cases of unstable intertrochanteric fracture were treated by internal fixation with SHS. The conditions of union of fracture, functional recovery of hip joint and the complications including coxa vara, the crispation of broken ends of fractured bone and the failure of internal fixation were observed. The ages were from 30 to 91 years with the averaged age of 68.4 years. According to the Evans classification systems, there are 36 cases of type ⅢA, 3 cases of type ⅢB, 7 cases of type Ⅳ and 2 cases of type Ⅴ. Results43 cases were followed up from 8 to 23 months with the averaged time of 11 months. The fracture healing time was 11~20 weeks with the averaged time of 14 weeks. The complications including coxa vara, rotation displacement, cutting of femoral head by the lag screw and internal fixation broken or loosening were not found. The excellent and good rate was 93% based on DONG Ji-yuan curative effect standard. ConclusionThe design of SHS eliminates the action of the sliding compression in DHS. SHS works as a “bridge type support” which can keep the state of the fracture steady and prevent the occurrence of complications effectively. "

参考文献/References:

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[3]谢瑞卿，张云飞，牛滕峰，等．动力髁螺钉治疗不稳定性股骨粗隆间骨折[J]．中国骨与关节损伤杂志．２００６，21(１):６６-６７．
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[5]蔡贤华，徐峰，刘曦明，等．股骨转子间不稳定型骨折ＤＨＳ内固定过度滑动的预防[J]．中国骨伤，２００２，15(11):６８８-６８９．
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[7]杨辉，唐三元，付海鹰，等．复杂股骨粗隆间骨折的内固定冶疗[J]．中国矫形外科杂志，２００６，14(22):１６８８-１６９０．
[8]谭家昌，徐鸿育，杨有猛，等.螺孔型股骨近端解剖钢板与动力髋螺钉治疗老年股骨转子间骨折的比较研究[J]．中国矫形外科杂志，2008，16(6):461-462．
[9]Utrilla IJ,Reig JS,Munoz FM,et al, Trochanteric Gamma nail and compression hip screw for trochanteric fractures: a randomized,prospective,comparative study in 210 elderly patients with a new design of the Gamma nail[J]．J Orthop Trauma,2005,19(4):229-233．
[10]邹成，陆凯．ＤＨＳ治疗股骨粗隆间骨折的临床体会[J]．中国骨与关节损伤杂志．２００６，21(５):４０５-４０６．"

相似文献/References:

[1]李 健,马大年,洪尚浩.股骨粗隆间骨折的手术方式选择[J].医学研究与战创伤救治(原医学研究生学报),2011,13(04):346.
[2]牛军涛,王 飞,褚尤彪,等.DHS治疗股骨粗隆间骨折的并发症及预防[J].医学研究与战创伤救治(原医学研究生学报),2008,10(02):132.

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2013-11-20