摘要
目的:探讨应用股骨近端锁定钢板治疗股骨粗隆部复杂性骨折的临床效果。方法:方法自2007年10月～2008年4月,应用股骨近端锁定加压钢板治疗股骨粗隆部复杂性骨折19例。记录术中出血量、手术时间,术后有无感染、下肢静脉血栓形成、应激性溃疡、内固定失败等并发症。术后1、2、3、6、12个月时常规随访,记录术后骨折愈合时间及最后一次随访时功能恢复情况。结果:骨折临床愈合时间为12～28周,平均16周。所有病例均未出现感染、下肢深静脉血栓形成、心肺疾患、应激性溃疡等并发症。所有患者在最后一次随访时均无骨折再移位、内固定失败、髋内翻畸形、股骨头坏死等。结论:股骨近端锁定钢板具有创伤小、固定可靠、骨折愈合快、功能恢复满意的特点,尤其适用于骨质疏松、复杂的粗隆部骨折。
Objective：To evaluate the clinical efficacy of locking compression plate （LCP） on complex intertrochanteric and subtrochanteric fractures of the femur. Methods： Nineteen patients were treated with LCP from October 2007 to April 2008. There were 10 complex intertrochanteric fractures and 9 subtrochanteric fractures. The amount of bleeding, operation time, and postoperative complications such as infection, deep vein thrombosis, stress ulcer, and implant failure were recorded. All patients were followed up at the 1st, 2nd, 3rd, 6th, and 12th month to record fracture healing time and recovery of function after operation. Results：Fracture healing time was 12 weeks to 28 weeks, averagely 16 weeks. No infections, deep vein thrombosis, cardiac or pulmonary disorders or stress ulcer were presented. No fracture redisplacement, failure of internal fixation, coxa vara deformity, and avascular necrosis of femoral head was observed. Conclusion：LCP has the characteristics of less invasion, secure fixation, rapid fracture union and satisfactory functional recovery, particularly for osteoporotic or complex intertrochanteric and subtrochanteric fractures.
出处
《中国中医骨伤科杂志》
CAS
2009年第9期36-38,共3页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
股骨粗隆部骨折
股骨近端锁定钢板
接骨术
Intertrochanteric and subtrochanteric fractures
Locking compression plate
Osteosynthesis
