锁定钢板治疗老年不稳定型股骨粗隆间骨折的临床分析

The Clinical Analysis of Locking Plate in the Treatment of Elderly Unstable Intertrochanteric Fractures

目的探讨锁定接骨板治疗不稳定型股骨粗隆间骨折的手术疗效。方法选择46例老年不稳定型股骨粗隆间骨折患者为观察组,采用解剖锁定接骨板治疗,选择23例采用动力髋螺钉(DHS)固定法治疗老年不稳定型股骨粗隆间骨折患者为对照组,对其治疗效果进行回顾性分析,并作对比。结果术后随访4～16个月,平均10个月。观察组骨折愈合时间最短,术后的并发症也最少,与对照组相比,有显著性差异(P<0.05)。结论解剖锁定接骨板治疗股骨粗隆间不稳定型骨折具有操作简单,固定牢固可靠,并发症少,骨折愈合率高,是治疗粗隆间不稳定型骨折的理想方法。

Objective To explore the surgical treatment for the treatment of unstable intertrochanteric fractures anatomic lock- ing plate. Methods Select 46 cases of elderly patients with unstable intertrochanteric fracture patients in the observation group, using anatomic locking plate treatment. Another retrospective chart review, 23 patients with dynamic hip screw （DHS） fixation for the treatment of elderly patients with unstable intertrochanteric fracture patients in control group. Analyze the therapeutic effect retrospectively for com- parison. Results The postoperative follow-up of 4 to 16 months, an average of 10 months. The observation group fracture healing in the shortest time, postoperative complications are also at least compared with the control group, a significant difference （P〈0.05）. Conclu- sions Anatomic locking plate treatment of unstable intertrochanteric fracture with a simple, fixed solid and reliable, with few complica- tions, the high rate of fracture healing, is the ideal method for the treatment of unstable intertrochanteric fractures.