Comparison of fixation with dynamic hip screw by anterior lateral hip Cshaped approach and conventional approach in treatment of elderly femoral intertrochanteric fractures

LI Linwu; HU Kezhi; LYU Bo; REN Lei; YAN Zezheng

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Comparison of fixation with dynamic hip screw by anterior lateral hip Cshaped approach and conventional approach in treatment of elderly femoral intertrochanteric fractures

更新时间：2022-06-24

- Comparison of fixation with dynamic hip screw by anterior lateral hip Cshaped approach and conventional approach in treatment of elderly femoral intertrochanteric fractures
- null Issue 6, Pages: 516(2021)
- 作者机构：
  
  桂林市人民医院创伤骨科,广西,桂林,541002
- 作者简介：
- 基金信息：
- DOI：
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LI Linwu, HU Kezhi, LYU Bo, et al. Comparison of fixation with dynamic hip screw by anterior lateral hip Cshaped approach and conventional approach in treatment of elderly femoral intertrochanteric fractures. [J]. null (6):516(2021)
DOI：

LI Linwu, HU Kezhi, LYU Bo, et al. Comparison of fixation with dynamic hip screw by anterior lateral hip Cshaped approach and conventional approach in treatment of elderly femoral intertrochanteric fractures. [J]. null (6):516(2021) DOI：

摘要

目的对比髋前外侧C形入路与常规入路动力髋螺钉（DHS）治疗老年股骨粗隆间骨折的临床效果。方法回顾性分析于我院行DHS治疗的100例老年股骨粗隆间骨折患者的临床资料，依据手术入路将其分为常规入路组（n=46）和C形入路组（n=54）。比较2组患者手术相关指标，术前和术后3个月、6个月、12个月髋关节Harris评分，术后12个月髋关节功能及术后并发症情况。结果 C形入路组手术时间、术中出血量、术中透视次数、引流量、住院时间均短/少于常规入路组（P＜0.05）。2组患者术后3个月、6个月、12个月髋关节Harris评分均优于术前，且术后3个月、6个月、12个月髋关节Harris评分依次增高，差异均有统计学意义（P＜0.05）；术后各时间点C形入路组髋关节Harris评分优于常规入路组（P＜0.05）。C形入路组术后12个月髋关节功能优良率高于常规入路组（P＜0.05）。C形入路组术后并发症发生率低于常规入路组（P＜0.05）。结论与常规入路相比，采用髋前外侧C形入路DHS治疗老年股骨粗隆间骨折患者创伤更小，有利于术后关节早期功能锻炼，促进髋关节功能恢复。

Abstract

关键词

髋前外侧C形入路外侧入路动力髋螺钉老年股骨粗隆间骨折

Keywords

anterior lateral hip C-shaped approachlateral approachdynamic hip screwelderlyfemoral intertrochanteric fractures

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