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1、...患肢髋关节功能较快。结论：经本研究，我们认为采用DHS或PFN内固定及人工关节置换治疗高龄股骨粗隆间骨折，都能取得较满意的疗效。对高龄（75岁以上）预期寿命短，合并症多，骨折复杂、复位困难。需尽早恢复离床活动的患者选择关节置换治疗，较内固定方式效果更好。所以临床选择何种手术方式需综合考量。关键词老年股骨粗隆间骨折；骨质疏松；不稳定型骨折；内固定；关节置换......DHS、PFNandhipreplacementtreatmentofelderlyUnstableintertrochantericfractur
2、esobservedSpecialty:OrthopedicsofTCMTutor:ProfessorXiejinAuthor:ZhouwanshanAbstractObjective:Toanalyzetheclinicaltreatmentinformationandtreatmentoutcomesofsurgerywithinafixed(DHSdynamichipscreworPFNproximalfemoralnail)withtheuseofartificialjointreplacementinthe
3、treatmentofintertrochantericfracturestostudythetreatmentofthetwotreatmentsintertrochantericfractureoftheadvantagesanddisadvantages,thechoiceofsurgicalmethodsfortheclinicaltreatmentofintertrochantericfracturebasis.Methods:ThediagnosisofOrthopaedics,AffiliatedHos
4、pitalofShandongUniversityofTraditionalChineseMedicinefromMarch2009toSeptember2011wereadmittedfor94elderlypatientswithintertrochantericfractures,48casesDHSorPFNfixationforthetreatmentof46theclinicalefficacyofroutineartificialhipreplacement,internalfixationgroupa
5、ndjointreplacementgroupconductedaretrospectivecomparativestudy.Results:Theaveragedaysofhospitalizationinbothgroups,themeanpreoperativehospitaldays,theincisionlengthdifferencebyttest,P>0.05,notstatisticallysignificantThemeanoperativetimebyttest,P<0.05,significan
6、tlybetweenthetwogroups,intraoperativebloodloss,bloodtransfusion,postoperativedrainageduetodatanotnormallydistributed,therowranksumtest,P>0.05,notstatisticallysignificant.Thetwogetoutofbedtime:generallythreedaysafterthehipreplacementgroupbegantopracticesittingat
7、thebedside,taketheinitiativetoexercisetheknee,ankleandfootactivity,thefirstfivedaysofpracticenursesassistedinthecontralaterallimbstandinglimbpartofthediscreet,andgradualtransitiontoalimbiscompletelydiscreet,walkeraboutaweektopracticewalking.Aftertheinternalfixa
8、tiongroup,asthecasemaywearanti-spinshoesto
keepthelimbinneutralpositionofoutreachtopracticeactivemotionofthehip,kneeand......ankle-footbed.Aftersurgeryonaregularbasistorevie
