牵引复位锁定加压钢板治疗老年股骨粗隆间骨折的疗效观察

Clinical Study of Femoral Intertrochanteric Fractures in the Elderly Treated with Traction Reduction and Locking Compression Plates

目的：探讨牵引复位锁定加压钢板治疗老年股骨粗隆间骨折的临床应用及其疗效。方法：自2008年2月-2009年5月,采用牵引复位锁定加压钢板（LCP）治疗老年股骨粗隆间骨折41例,根据术前、术后X光片及术后髋关节功能恢复情况,评价治疗效果。结果：术后随访6-13个月,平均9个月,髋关节功能根据Harris评分标准进行评定,优34例,良7例。结论：牵引复位锁定加压钢板治疗老年股骨粗隆间骨折具有手术创伤小、固定牢靠、髋关节功能恢复好等优点。

Objective：To evaluate the effect of traction reduction and locking compression plates （LCP） for the treatment of femoral intertrochanteric fractures in the elderly. Methods： From February 2008 to May 2009, 41 old patients with femoral intertrochanteric fractures were treated with traction reduction and LCP internal fixation. The therapeutic effect was inves- tigated based on the preoperative and postoperative hip X-ray film and post-operative recovery of joint function. Results：Patients were followed up for 6 to 13 months, 9 months averagely. Excellent effect was observed in 34 cases and good effect in 7 cases according to Harris scores. Conclusion：Traction reduction and LCP has a preferable clinical value in the treatment of aged patients with femoral intertroehanteric fracture, especially those with osteoporosis.