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[使用动力髋稳定器治疗股骨转子周围骨折的远期结果及手术失败情况]

[Remote results and failures operating treatment peritrochanteric femur fractures using dynamic hip stabilizer].

作者信息

Golec Edward, Sienkiewicz Dariusz, Nowak Sebastian, Golec Joanna, Szczygieł Elzbieta, Cieślak Bogusława

机构信息

Klinika Chirurgii Urazowej i Ortopedii z Oddzialem Neurochirurgii i Rehabilitacji 5. Wojskowego Szpitala Klinicznego z Poliklinikq, Samodzielny Publiczny Zaklad Opieki Zdrowotnej w Krakowie.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2007 Nov-Dec;72(6):391-6.

PMID:18402005
Abstract

The authors make distant evaluation of functional and radiological outcomes after operative treatment of peritrochanteric femur fractures using dynamic hip stabilizer (DSB) from perticulary to take into consideration complications and failures. It was done basing on clinical material of 1998-2005 years. 142 patients were included to the study, 89 women (62.7%) and 53 men (37.3%), aged between 53-97 years (average 77 years). These patients make up 72.5% of all treated because of peritrochanteric femur fractures. Boyd and Gryffin classification was used for evaluation of type of fracture, Harris criterions was used for evaluation of functional outcomes and Golec's criterions was used for evaluation of radiological outcomes. Obtained outcomes allow confirm usefulness of DSB for treatment of type I and II according to Boyd and Griffin classification. Poor outcomes were obtained in type III and IV.

摘要

作者对使用动力髋稳定器(DSB)手术治疗股骨转子周围骨折后的功能和放射学结果进行了远期评估,特别考虑了并发症和失败情况。这是基于1998年至2005年的临床资料进行的。142例患者纳入研究,89例女性(62.7%),53例男性(37.3%),年龄在53至97岁之间(平均77岁)。这些患者占所有因股骨转子周围骨折接受治疗患者的72.5%。采用博伊德(Boyd)和格里芬(Gryffin)分类法评估骨折类型,采用哈里斯(Harris)标准评估功能结果,采用戈莱茨(Golec)标准评估放射学结果。所获结果证实了DSB对博伊德和格里芬分类法中I型和II型骨折治疗的有效性。III型和IV型骨折的治疗效果较差。

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Chir Narzadow Ruchu Ortop Pol. 2007 Nov-Dec;72(6):391-6.
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