摘要
探讨骨端钢板治疗股骨粗隆部骨折的手术方法及疗效。方法:股骨粗隆部骨折复位后采用骨端钢板内固定,钢板骨端与近骨折段固定2~3枚6.5mm半牙螺钉,钢板体部与远骨折段固定至少3~4枚4.5mm全牙螺钉,小粗隆骨块应尽量进行复位固定。结果:经临床应用53例、41例经4个月~6年随访,按黄公怡评定标准:本组优良率为92.7%。结论:采用骨端钢板治疗股骨粗隆部骨折,具有手术操作简便,内固定确实等优点,尤其适用于全身情况差,需尽快结束手术的病例。
Objective:To research operative procedure and results of treatment of the femoral trochanteric fracture by bone end plate.Methods:The fractures of the trochanteric part of the femur were reduced and then fixed with bone end plate.Bone end part of bone end plate and proximal part of fracture were fixed with 2 to 3 cancellous screws.Body part of bone end plate and the distal part of fracture were fixed with 3 to 4 cortical screws.The fractured part of lesser trochanter were reduced and fixed as effective as possible.Results:41 patients of 53 cases were followed up from 4 months to 6 years.The excellent and good results were obtained in 92 7% of the patients according to Huangs assay system.Conclusions:The bone end plate is effective for the treatment of the fracture of the trochanter part of the femur because of its advantage of a simple procedure with less operative trauma and strong fixation.This technique is particularly advised for patients with poor condition who require saving time in operation.
出处
《中国矫形外科杂志》
CAS
CSCD
1999年第3期182-184,共3页
Orthopedic Journal of China
关键词
股骨粗隆部骨折
骨端钢板
内固定
治疗
Femoral trochanteric fracture Internal fixation Bone end plate.