徐玮;孔荣;方诗元;禹德万;李守民;夏睿;黄威;王英明;黄炎;孙建皖;王叙进;姚刚;

• 1:安徽医科大学附属省立医院骨一科

摘要(Abstract)：

[目的]比较双动头置换与Intertan内固定治疗老年不稳定型股骨粗隆间骨折的临床疗效。[方法]对本院自2011年7月~2013年7月41例股骨粗隆间骨折患者,经随机分组分别采用双动头置换与Intertan内固定治疗,比较两组的术后血红蛋白浓度、术前术后输血量、手术时间、住院时间、术后完全负重时间、术中及术后并发症情况、死亡率及髋关节Harris评分(HHS)。[结果]本组全部病例术后随访13~15个月。两组术后血红蛋白下降值、术前术后输血量、住院时间、术后1年HHS评分、术后并发症发生率及死亡率均无明显差异(P>0.05),双动头置换组的手术时间和术后完全负重时间较Intertan内固定组明显缩短(P<0.05)。[结论]在老年不稳定型股骨粗隆间骨折治疗方面,双动头置换与Intertan内固定都有着良好的疗效,但双动头置换在早期下地活动方面较Intertan内固定组有明显优势,是一种较好的手术方式。

关键词(KeyWords)： 股骨粗隆间骨折;双动头置换;Intertan内固定;骨质疏松

Abstract:

Keywords:

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作者(Author): 徐玮;孔荣;方诗元;禹德万;李守民;夏睿;黄威;王英明;黄炎;孙建皖;王叙进;姚刚;

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参考文献(References)：

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