摘要
目的探讨早期不同手术方法治疗老年股骨转子间骨折的疗效。方法早期采用不同手术方法治疗老年股骨转子间骨折148例，早期锻炼，延迟负重。结果获得随访138例（93．2％），随访时间10～48个月，平均23个月。围手术期元严重并发症，切1：3元感染，骨折均愈合，骨折愈合时间4～8个月，平均5．5个月。按临床综合评定标准评定：优87例（63％），良47例（34．1％），可4例（2．9％）。结论根据老年患者状况和转子间骨折类型选择不同手术方法，合理锻炼，可有效减少各种并发症，降低伤残率。
Objective To evaluate the effects of different operattive methods for elderly patients with intertrochanteric fracture of femur. Methods 148 elderly patients with different types fractures were operated early by different fixation measures. All were performed early exercises but delayed weight bearing. Results 138 cases operative period, and no infection was found. Fracture got union during 4 months to 8 months （ average 5.5 months）. According to the Han s criteria, the results were excellent in 87 cases （63%） good in 47 cases （34. 1% ） and fair in 4 cases （2. 9% ） in the patients who were followed up. Conclusion Different operative methcds should be selected to use according to feneral circumstances and the types of intertrochanteric fracture for the elderly patients. Early operation and rational exercise can prevent complications and reduce mobidity.
出处
《职业卫生与病伤》
2008年第2期77-79,共3页
Occupational Health and Damage
关键词
老年
股骨转子间骨折
手术方法
Elderly
Interochanteric fracyures
Operative methods
