Assessment of the Curative Effects of DHS(Dynamic Hip Screw)Plus Bone Cement in Treating Intertrochanteric Fractures in the Elderly_West China Medical Journal

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Department of Orthopaedics,the First People’s Hospital,Yibin Sichuan 644000,China;

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Keywords：

股骨粗隆间骨折; DHS+骨水泥; 手术

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:目的:探讨DHS+骨水泥治疗老年股骨粗隆间骨折的疗效。方法:回顾分析2001年1月～2006年4月48例70岁以上老年股骨粗隆间骨折病例的临床资料,对其骨折类型、骨质疏松程度、合并症及临床疗效进行分析。结果:本组术后32例获得1～4年随访,无螺钉松动、髋内翻、感染或骨折延期愈合,髋关节功能评价优良率93％。结论:DHS+骨水泥治疗老年股骨粗隆间骨折具有手术时间短、创伤小、内固定牢靠、符合生物力学分配、能早期得到功能锻炼、减少术后并发症等优点;适合各种类型老年股骨粗隆间骨折的治疗。

Citation： XIAO Rui,SHAN Shubin,LI Wei,et al. Assessment of the Curative Effects of DHS(Dynamic Hip Screw)Plus Bone Cement in Treating Intertrochanteric Fractures in the Elderly. West China Medical Journal, 2009, 24(3): 595-599. doi: Copy

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8.	SHAHID R,MUSHTAQ A,NORTHOVER J,et al.Outcome of proximal humerus fractures treated by PHILOS plate internal fixation[J].Experience of a district general hospital.Acta Orthop Belg.2008,74(5):602-608..
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1. Neer CS 2nd.Displaced proximal humeral fractures.1.Classification and evaluation[J].J Bone Joint Surg(Am),1970,52:1077-1089..
2. HINTERMANN B,TROUILLIER HH,SCHIFER D,et al.Rind internal fixation of fractures of the proximal humerus in older patients[J].J Bone Joint Surg(Br),2000,82:1107-1111..
3. 张亚非,庞贵根,张涛.肱骨近端移位骨折手术与非手术治疗方法疗效分析[J].中华创伤骨科杂志,2005,7(11):1044-1047..
4. 杨吉青尚希福江和明等.肱骨近端骨折手术与非手术治疗的疗效比较[J].中国临床保健杂志,2008,11(4):392-394..
5. 鲁谊,姜春岩,朱以明,等.应用肱骨近端锁定钢板治疗肱骨近端骨折的临床结果分析[J].中华外科杂志,2007,45(20):1375-1378..
6. 曹曼林,江澜,俞红,等.CPM配合治疗肱骨近端骨折后肩关节功能障碍[J].中国康复,2008,23(2):94-95..
7. AGUDELO J,SCH?RMANN M,STAHEL P,et al.Analysis of efficacy and failure in proximal humerus fractures treated with locking plates[J].J Orthop Trauma,2007,21(10):676-681..
8. SHAHID R,MUSHTAQ A,NORTHOVER J,et al.Outcome of proximal humerus fractures treated by PHILOS plate internal fixation[J].Experience of a district general hospital.Acta Orthop Belg.2008,74(5):602-608..
9. 范卫民,李翔,刘锋,等.人工肱骨头置换治疗肱骨近端粉碎性骨折[J].中华骨科杂志,2007,27(10):739-742..

West China Medical Journal

Assessment of the Curative Effects of DHS(Dynamic Hip Screw)Plus Bone Cement in Treating Intertrochanteric Fractures in the Elderly

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