| 摘要: |
| ［摘要］ 目的 探讨解剖型锁定钢板治疗老年人股骨转子间粉碎性骨折的手术方法和疗效。方法 对2008-05～2010-04采用小切口骨折切开复位锁定钢板内固定方法治疗的42例老年人股骨转子间粉碎性骨折患者的临床资料进行回顾分析。结果 42例均获得随访，随访时间为6～24个月，平均15个月；手术切口一期愈合，无感染发生，经X线检查骨折愈合时间为4～6个月；无骨不连、短缩及髋内翻畸形，无钢板断裂、断钉、内固定松动现象发生；2例因严重粉碎性骨折1年后出现股骨头坏死。根据Sanders髋关节创伤后功能评分标准评定：优25例，良12例，可3例，差2例，优良率为88.1%。结论 应用股骨近端锁定钢板治疗老年人股骨转子间粉碎性骨折，能够取得较好的效果，可减少并发症的发生。 |
| 关键词: 股骨转子间骨折 粉碎性骨折 锁定钢板 |
| DOI：10.3969/j.issn.1674-3806.2012.12.18 |
| 分类号:R 68 |
| 基金项目: |
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| Effect of locking plate for the treatment of senile intertrochanteric comminuted fractures |
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HUANG Guo-fu,SU Fu-jin
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Department of Orthopedics, the People′s Hospital of Beiliu, Guangxi 537400, China
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| Abstract: |
| ［Abstract］ Objective To investigate effect and method of the anatomical locking plate for the treatment of intertrochanteric comminuted fractures in elderly patients.Methods Forty-two patients were treated by small incision open reduction and locking plate internal fixation in our hospital from May 2008 to April 2010.Results All patients were followed up 6～24 months (average 15 months), operation incision healed at first stage, no infection occurred, fracture healing time ranged 4～6 months, X-ray examination showed no nonunion, shortening, varus deformity of hip fracture, steel plate broken nails and internal fixation loosening were found. Femoral head necrosis occurred in 2 patients for severe comminuted fracture after 1 year. According to Sanders traumatic hip rating scale: excellent in 25 cases, good 12 cases, fair 3 cases, and poor 2 cases, the excellent and good rate was 88.1%.Conclusion Locking plate for the treatment of senile intertrochanteric comminuted fracture is good for healing of the fracture and hip joint function recovery, reducing complications. |
| Key words: Femoral intertrochanteric fracture Comminuted fractures Locking plate |
