Minimally Invasive Technique of Dynamic Hip Screw

DHS的微創技術

李懿訓(Yih-Shiunn Lee) ； 林建中(Chien-Chung Lin) ； 黃建睿(Chien-Rae Huang) ； 陳澄男(Cheng-Nan Chen) ； 廖文裕(Wen-Yun Liao) ； 劉陳愛勤(Ai-Chin Liu Chen) ； 駱亭穎(Ting-Ying Lo) ； 黃慧玲(Hui-Ling Huang)

《Journal of Orthopaedic Surgery Taiwan》 22卷1期 (2005/03) Pp. 15-21

並列摘要

Forty-one patients with intertrochanteric fractures were treated with dynamic hip screw (DHS) fixation by either a mini-invasive technique or the conventional technique. The final outcomes were evaluated 12 months postoperatively using radiography and the Harris hip scoring system. A Student t-test was used for comparison of hip score, wound size, mean hemoglobin drop, hospital stay, and total analgesic use. The mean hip score of the mini-invasive group was 94.8 points and that of the conventional group was 96.5 points (p=0.67). Patients who received mini-invasive treatment had a significantly smaller wound size (p＜0.001), lower hemoglobin level drop (p＜0.001), shorter hospital stay (p=0.048), and used less meperidine (p＜0.00l). In conclusion, fixation of the intertrochanteric fracture with DHS by the mini-invasive technique has many advantages over the conventional technique.

並列關鍵字

mini-invasive technique ； DHS