锁定加压钢板治疗A2型老年股骨粗隆间骨折的疗效分析

Therapeutic Effect of Intertrochanteric Fractures(AO Type 31-A2) Treated with Locking Compression Plate Fixation

目的:回顾性总结分析锁定加压钢板治疗31-A2型股骨粗隆间骨折的临床疗效。方法:2007年2月-2010年10月,采用股骨近端锁定加压钢板治疗31-A2型股骨粗隆间骨折28例。根据Harris评分标准,从疼痛、功能、下肢畸形、髋关节活动范围等方面对获得随访的患者进行评分,观察疗效。结果:28例患者均获得随访。随访9～41个月,平均26.8个月,按Harris评分标准:本组28例中,优17例,良7例,一般2例,死亡2例,优良率为92.31%。结论:对于31-A2型股骨粗隆间骨折,采用股骨近端锁定加压钢板内固定治疗具有操作简单,固定牢固,术后功能恢复理想及并发症少等优点,具有较大临床推广价值。

Objective：To retrospectively analyze the efficacy of locking compression plate for the treatment of the Type 31-A2 intertrochanteric fractures.Methods：From February 2007 to October 2010,the use of proximal femoral locking compression plate was used in 28 patients with Type 31-A2 intertrochanteric fractures,10 males and 18 females,who aged 64 to 92 years,76.8 years old on average.Based on Harris scoring,the pain,function,lower limb deformities,and hip range of motion were observed.Results：All patients were followed up for 9 to 41 months,averagely 26.8 months.The results were excellent in 17 patients,good in 7,and moderate in 2.Two patients died.The fine rate was 92.31%.Conclusion：For the Type 31-A2 intertrochanteric fractures,proximal femoral locking compression plate fixation is simple,with advantages of firm fixation,ideal postoperative recovery and fewer complications.