应用加压钢板治疗老年人不稳定型转子间骨折临床观察

A clinical research on the treatment for unstable intertrochanteric fractures of the aged with LCP

目的观察运用股骨近端锁定加压钢板（LCP）治疗老年人不稳定型股骨转子间骨折的疗效。方法51例不稳定型转子间骨折老年患者中，24例采用LCP固定（治疗组），27例（对照组）采用动力髋螺钉固定，比较两组的临床疗效、术后并发症，并对其进行短期随访。结果治疗组与对照组相比，手术时间短（min）（68．7±17．2与89．9±15．1，P〈0．01）、术中出血量少（ml）（286．7±130．1与416．3±177．0，P〈0．01）、术后引流量少（ml）（50．7±25．1与84．6±30．1，P〈0．01），两组优良率（87．5％与70．4％，P〉0．05）差异无统计学意义。结论采用LCP治疗老年人不稳定型股骨转子间骨折是一种有效治疗方式。

Objective To evaluate the effect of treatment for unstable intertrochanteric fractures of the aged with LCP. Methods 51 patients with intertrochanteric fracture were included. 24 cases were operated with LCP while 27 cases with DHS. Clinical assessments included operation details, complications and follow-up interviews were ana- lyzed. Results Compared with DHS, operation with LCP has advantages of simple operation, short operation time （min） （68.7 ± 17.2 vs 89. 9 ± 15. 1,P 〈0.01） ,minor wound,less blood during（ml） （286.7 ± 130. 1 vs 416.3 ± 177.0, P 〈 0. 01 ） and after the operation （ml） （ 50. 7 ± 25. 1 vs 84. 6 ± 30. 1, P 〈 0. 01 ）, higher reliability and fewer complications. Conclusion LCP is one of the ideal choices for the treatment of unstable in-tertrochanterie fractures of the aged.