摘要
目的探讨微创稳定系统钢板倒置治疗陈旧性股骨粗隆间骨折的临床价值。方法对我院2012~2013年骨科收治的20例采用微创稳定系统钢板倒置治疗的陈旧性股骨粗隆间骨折患者回顾性分析,选取同期采用动力髋螺钉21例作为对照组,对两组患者其进行随访,通过比较两组患者手术时间、术中出血量、骨折愈合时间、Harris评分评价微创稳定系统钢板倒置治疗的临床疗效。结果观察组手术切口长度小于对照组、手术时间小于对照组、术中出血量少于对照组,差异均有统计学意义(<0.05);两组间骨骼愈合时间、末次随访Harris评分差异均无统计学意义(>0.05)。结论 LISS倒置治疗陈旧性股骨粗隆间骨折能够达到满意复位、固定,同时还具有切口小、术中出血量少、手术时间短的优点,是治疗股骨粗隆间骨折的一种较好的内固定方法。
Objective To investigate the clinical value analysis of minimally invasive stabilization system plate upside down in treatment of old intertrochanteric fracture. Methods A retrospective analysis of 20 cases minimally invasive stabilization system plate upside down in treatment of old intertrochanteric fracture during the period from 2012 to 2013, 21 cases in DHS were selected from the same period as a control group, two groups of patients were followed up, by comparing the two groups the operative time, blood loss, bone healing time, Harris score evaluation clinical efficacy of minimally invasive stabilization system plate upside down. Results Incision length of the observer group less than in the control group, the operative time than the control group, less blood loss than the control group, the difference was statistically significant( <0.05); bone healing time, harris score last follow-up of two groups had no statistically significant( >0.05). Conclusion LISS inverted in treatment of old intertrochanteric fracture be able to achieve satisfactory reduction and fixation, it also has the advantages of small incision, less blood loss, shorter operative time, is a better way to treat internal fixation of intertrochanteric fractures.
出处
《生物骨科材料与临床研究》
CAS
2015年第2期53-55,共3页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
微创稳定系统钢板倒置
陈旧性股骨粗隆间骨折
临床疗效
Minimally invasive stabilization system plate upside down
Old intertrochanteric fracture
Clinical efficacy