摘要
文中报道应用95°、130°L-角钢板治疗股骨转子间骨折73例,平均年龄63岁。术后平均随访29个月。按黄公怡疗效评定标准:本组中优55例(75.4％)、良12例(16.4％)、差4例(5.4％)。并发症有髋内翻5例(6.8％)、钉板断裂2例(2.7％)、钉尖穿透股骨头1例(1.4％)。结果表明:L-角钢板适用于内固定治疗股骨转子间骨折,在两种规格钢板中,以130°角钢板为优。本文探讨了手术操作要点及主要并发症的发生原因,强调术前骨牵引和复位质量的重要性。
We have treated 73 cases of intertrochanteric fracture of the femurusing 95° L-angle plate and 130° L-angle plate.The average age of the patients was 63.The average follow-up period was 29 months. The patients were evaluated with Huang Gongyi' s method: the results in 55 cases (75. 4%) were excellent; 12 cases (16.4%) good and 4 cases (5.4%) poor.It was found that the complications were mainly coxa vara. We believe that L-angle plate is an appropriate method for intertrochanteric fracture of the femur and L-angle plate of 130 degree was much better than L-angle plate of 95 degree.
出处
《解剖与临床》
1997年第2期70-71,共2页
Anatomy and Clinics
