文档介绍：1 股骨粗隆部骨折治疗失败及补救【摘要】目的分析股骨粗隆间骨折治疗失败的原因, 以及失败后进行翻修治疗的对策。方法通过对我院近十年来收治的 29 例股骨粗隆间骨折既往治疗失败的病例进行分析, 总结分析治疗失败的原因及探索补救措施。结果本组6 例患者采取保守治疗均并发髋内翻畸形, 其中 4 例畸形愈合, 2 例骨折不愈合。使用 DHS 固定失败 5 例,均伴发 DHS 主钉的后上方穿凿。空心钉内固定治疗 10 例均伴发不同程度的髋内翻畸形、内固定松动,其中畸形愈合 3例,不愈合 4例, 后期并发反粗隆间骨折 3例。股骨上段勺型接骨板治疗 6 例均伴发髋内翻畸形, 其中 3 例不愈合。 DCS 内固定治疗 1 例伴发钢板断裂骨折不愈合。 90 度角型接骨板内固定治疗 1 例伴发髋内翻畸形。结论内固定方式选择不当、内固定植入不当、康复训练方式不当等是股骨粗隆间骨折治疗失败的原因, 正确的病例选择和精确的手术操作是治疗成功的关键。【关键词】股骨粗隆间骨折失败补救【 Abstract 】 Objective : Analysis of femoral intertrochanteric fracture of rough down the reasons for treatment failure, as well 2 as for renovation after the failure of response to treatment. Methods : Admitted in our hospital over the last decade of the 29 cases of intertrochanteric fracture of femur down rough past cases of treatment failure analysis, summarized and analyzed the reasons for treatment failure and to explore remedies. Results : The six cases of conservative treatment of patients plicated hip varus, malunion in4 cases, 2 cases of nonunion. DHS failed to use a fixed five cases were associated with DHS after the top of the main nail ration. Cannulated screw fixation for the treatment of 10 cases were associated with varying degrees of varus deformity of hip, loosening of internal fixation, of which three cases of malunion, nonunion of four cases, the late anti-concurrent three cases of intertrochanteric fracture. Proximal femur bone plate