摘要
目的 判断有限切开复位股骨近端锁定加压接骨板(proximal femurlocking compression plate,PF-LCP)内固定治疗股骨转子下骨折的安全性和有效性.方法 回顾性分析采用该方法治疗股骨转子下骨折31例.观察内容包括患者年龄、性别、骨折分型、手术时间、出血量、复位质量、骨折愈合时间以及并发症等.结果 根据股骨转子下骨折的Sein-sheimer分型标准,患者分为ⅡB型5例、ⅡC型8例、ⅢA型6例、ⅢB型7例、Ⅳ型2例、Ⅴ型3例.平均手术时间80(62~127)min,平均术中出血量220(200~345)ml.所有患者在随访期内达到骨折愈合,平均愈合时间13(11~20)周.术后X线片显示平均髋内翻<10°(5°~13°).1例患者术后下肢长度偏差超过1cm.髋关节功能Harris评分:优15例,良13例,可3例,优良率90.3%.结论 有限切开复位PF-LCP内固定治疗股骨转子下骨折,手术方法可行,术后并发症少.
Objective To evaluate the safety and effect of limited open redution and proximal femurlocking compression plate(PF-LCP) for femoral subtrochanteric fracture. Methods 31 patients with femoral subtrochanteric fractures were stabilized with PF-LCP.The age,gender,fracture classification,operating time,blood loss,restoration ability,healing time and complications were recorded. Results According to the seinsheimer classification,there were 5 cases in type ⅡB,8 cases in type ⅡC,6 cases in type ⅢA,7 cases in type ⅢB,2 cases in type Ⅳ and 3 cases in typeⅤ. The mean operating time was 80(62~127)min and average blood loss was 220(200~345)ml. All patients were cured during follow-up period. The average healing time is 13(11~20)weeks, the average coxa vara was less than 10 degree,limb length bias of one patient was over 1cm. There were 15 excellent cases,13 good cases,and 3 fair cases according to Harris score. The excellent rate was 90.3%. Conclusion Limited open redution and proximal femurlocking compression plate(PF-LCP) is feasible for femoral subtrochanteric fracture.And it has fewer complications.
出处
《中国现代医药杂志》
2016年第11期25-27,共3页
Modern Medicine Journal of China
关键词
切开复位
股骨近端锁定加压接骨板
股骨转子下骨折
髋内翻
Open reduction
Proximal femurlocking compression plate(PF-LCP)
Femoral subtrochanteric fracture
Coxa vara
