Alobaid A, Harvey E J, Elder G M, Lander P, Guy P, Reindl R
Department of Orthopaedic Surgery, Montreal General Hospital, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada.
J Orthop Trauma. 2004 Apr;18(4):207-12. doi: 10.1097/00005131-200404000-00003.
This study evaluates the safety and outcome of a minimally invasive technique for inserting a standard dynamic hip screw for intertrochanteric fractures.
The use of standard plate in a minimally invasive technique is both possible and advantageous to patient outcome.
Prospective surgeon-randomized blinded outcome clinical study comparing new technique to conventional technique.
Pain, operative time and mean hemoglobin drop in percutaneous hip fixation.
The minimally invasive technique had significantly less blood loss (P < 0.001), operative time (P < 0.001) and a trend to less morphine use.
Minimal invasive technique significantly reduces blood loss and operative time for fixation of intertrochanteric hip fractures without sacrifice of fixation stability or bone healing.
本研究评估采用微创技术插入标准动力髋螺钉治疗股骨转子间骨折的安全性及治疗效果。
在微创技术中使用标准钢板对患者治疗效果而言是可行且有益的。
一项前瞻性的、由外科医生随机分组的、结果盲法的临床研究，将新技术与传统技术进行比较。
经皮髋部固定术中的疼痛、手术时间及平均血红蛋白下降情况。
微创技术的失血量显著更少（P < 0.001），手术时间显著更短（P < 0.001），且使用吗啡的量有减少趋势。
微创技术可显著减少股骨转子间髋部骨折固定术的失血量及手术时间，且不影响固定稳定性或骨愈合。
