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高龄股骨粗隆间骨折患者的治疗研究进展
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Abstract:
高龄股骨粗隆间骨折是在老年群体中非常常见的下肢骨折类型，通常因直接或间接暴力导致骨折，而老年患者最常见的骨折病因一般为摔倒所致。老年患者极易出现缺钙、骨质疏松等症状，且往往合并多种内科疾病需要处理，因此治疗高龄股骨粗隆间骨折是骨科医生在临床工作中所要面临的严峻挑战，其治疗以手术为主。动力髋螺钉不适用于伴发骨质疏松的患者，Gamma钉虽经过主钉加长改进，但用于伴发骨质疏松的高龄患者仍存在一定风险，股骨近端防旋髓内钉(PFNA)、人工股骨头置换术具有各自的优缺点，在无绝对手术禁忌证的情况下，应选择手术治疗，基于此，本文就高龄股骨粗隆间骨折的治疗进行综述。
Intertrochanteric fracture of the femur is a very common type of lower limb fracture in the elderly, which is usually caused by direct or indirect violence, while the most common cause of fracture in elderly patients is generally caused by falls. Elderly patients are prone to calcium deficiency, osteo-porosis and other symptoms, and often combined with a variety of medical diseases need to be treated, so the treatment of elderly femoral intertrochanteric fracture is a serious challenge for or-thopedic doctors in clinical work, and its treatment is mainly surgery. Dynamic hip screw is not suitable for patients with osteoporosis. Although Gamma nail has been improved by lengthening the main nail, there is still a certain risk in elderly patients with osteoporosis. Proximal femoral an-ti-rotation intramedullary nail (PFNA) and artificial femoral head replacement have their own ad-vantages and disadvantages. In the absence of absolute surgical contraindications, surgical treat-ment should be selected. This article reviews the treatment of femoral intertrochanteric fracture in the elderly.
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