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[1]鄭昆侖,王愛國,谷福順,等.手法復(fù)位加單臂外固定架治療高齡股骨 轉(zhuǎn)子間骨折的臨床研究[J].中醫(yī)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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手法復(fù)位加單臂外固定架治療高齡股骨 轉(zhuǎn)子間骨折的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期數(shù):
2011年07期
頁碼:
3-5
欄目:
臨床研究
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:
鄭昆侖; 王愛國; 谷福順; 信金黨; 王紹海; 郭銳; 馮其金
天津中醫(yī)藥大學(xué)第二附屬醫(yī)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
關(guān)鍵詞:
髖骨折 正骨手法 外固定器 骨折固定術(shù); 內(nèi) 治療; 臨床研究性
Keywords:
Hip fractures;  Bone setting manipulation;  External fixators;  Fracture fixation; internal;  Therapies;  investigational
摘要:
目的:探討手法復(fù)位加單臂外固定架治療高齡股骨轉(zhuǎn)子間骨折的臨床療效。方法:將符合要求的90例患者隨機(jī)分為2組,治療組60例,對照組30例。治療組采用手法復(fù)位加單臂外固定支架固定治療; 對照組采用動力髖螺釘固定治療。分別觀察記錄2組患者的手術(shù)時間、術(shù)中出血量、骨折愈合時間及術(shù)后骨折并發(fā)癥發(fā)生情況,并于患者骨折愈合后采用創(chuàng)傷性髖關(guān)節(jié)功能評分標(biāo)準(zhǔn)對患者進(jìn)行髖關(guān)節(jié)功能評分。結(jié)果:①治療組手術(shù)時間、術(shù)中出血量及骨折愈合時間均小于對照組(t=15.338,P=0.000; t=33.610,P=0.000; t=21.855,P=0.000),2組髖關(guān)節(jié)功能評分比較,差異無統(tǒng)計學(xué)意義(t=-1.720,P=0.090)。②術(shù)后對照組發(fā)生深部感染2例,髖內(nèi)翻1例,螺釘松動部分退出1例,深靜脈血栓形成3例; 治療組無骨折并發(fā)癥發(fā)生。結(jié)論:手法復(fù)位加單臂外固定架在恢復(fù)高齡股骨轉(zhuǎn)子間骨折患者髖關(guān)節(jié)功能方面與動力髖螺釘固定相當(dāng),但手術(shù)時間短、術(shù)中出血量少、骨折愈合時間短、術(shù)后并發(fā)癥也較少,是治療高齡股骨轉(zhuǎn)子間骨折的有效方法,值得推廣應(yīng)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.

參考文獻(xiàn)/References:

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[4] 霍華春,祝文剛,王炳軍,等.微創(chuàng)理念手術(shù)治療老年股骨近端骨折[J].中國骨與關(guān)節(jié)損傷雜志,2008,23(5):431-432.
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[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