带槽角状钢板内固定治疗非稳定性粗隆间骨折30例报告

Unstable Femoral Intertrochanteric Fractures Treated by Interal Fixationwith Concave Angled Plates(with a report of 30 cases)

采用带槽角状钢板内固定治疗非稳定性粗隆间骨折30例，术后3天被动活动髋关节，2周扶拐行走。平均随访2年3个月，骨折全部愈合。髋关节无疼痛、活动正常占90％，患肢短缩的髋内翻占10％。本文还讨论了手术指征，患肢短缩与髋内翻的原因，并提出牵引复位、手法复位和术中直视下复位并用的方法，效果满意。

Thirty cases of unstable interttrochanteric fracture of the femur were internallyimmobilized withconcave angled plates and herein reported. The involved hipjoints were started passive protectiveexercise from the third post- operative day. Two weeks after operation , the petients were advised to getup and about oncrutches. The average period of follow - up was 2 years and 3 months. All thetractureshealed. 90% of the patients had normal mobility without pain in the hipjoint. Three caseshaving telescoed limbs and coxa vara accounted for 10% of the total pahents, The indjcation foropeahon of this kind and the causes of telescoped injured limbs and coxa vara were discssed and anew ideaof TMO (Traedon - Manual - Operation ) reduction was suggested and itS resultwasonsidered satisfactory.