摘要
目的:分析动力髋螺钉(DHS)治疗股骨粗隆间骨折并发症的原因,并提出防治措施。方法:对65例采用DHS治疗股骨粗隆间骨折患者中发生并发症13例进行临床总结,分析其发生的主要原因,提出相应的防治措施。其中男8例,女5例;年龄56～82岁,平均70.2岁。结果:13例并发症中,术中股骨近端外侧皮质崩裂2例;术中髋螺钉穿破股骨头进入髋臼2例;髋内翻5例;股骨头坏死1例;切口感染3例,其中1例出现骨折不愈合。结论:导致并发症发生的主要原因有手术操作不规范,无菌操作不严格,骨折复位不理想,术后过早负重。预防措施主要有严格无菌操作,积极治疗内科疾病,规范手术操作,骨折尽量达到解剖复位,重视小粗隆及后内侧骨块的固定,术后合理进行功能锻炼。
Objectlve：To analyze causes of the complications in treatment of the intertrochanteric fractures with dynamic hip screw （ DHS ） and discuss the way of the prevention. Methods： Sixty-five cases of intertrochanter fractures of femur were treated with DHS. Among them, the complications occurred in 13 cases, their causes were analyzed and corresponding preventive treatments were discussed. The patients with complications included 8 male and 5 female,and the mean age was 70.2 years （range,from 56 to 82 years）. Results：The major complications of 13 cases included proximal femoral cortex broken in 2 cases, femoral heads penetrated by screw in 2, varus deformity of hip in 5,necrosis of femoral head in 1, the wound infection in 3 （including bone non-union in 1 ）. Conclusion：The main causes of the complications are various as follows：the nonstandard operative procedure, incorrect aseptic measures, unsatisfactory reduction, and too early weight bearing. Therefore, appropriate preventive measures such as correct aseptic manipulation, effective treatment of general medical illness ,formal operative procedure, good reduction, proper fixation of lesser trochanter and posteromedial bone fragment, and correct functional training program should be taken.
出处
《中国骨伤》
CAS
2008年第5期341-342,共2页
China Journal of Orthopaedics and Traumatology
关键词
粗隆间骨折
动力髋螺钉
术后并发症
Intertrochanteric fractures
Dynamic hip screw（DHS）
Postoperative complications
作者简介
通讯作者：郭金刚E-mail：gjgyx166@163．com
