股骨近端锁定接骨板治疗老年股骨粗隆间骨折疗效分析

Curative effect analysis of the senile intertrochanteric fracture treatment with locking proximal femur plate

目的分析股骨近端锁定接骨板(locking proximal femur plate,LPFP)治疗老年股骨粗隆间骨折的临床效果。方法回顾性分析采用股骨近端锁定接骨板治疗老年股骨粗隆间骨折57例。随访12～24个月,平均16个月。按骨折AO分型将患者分为A1型、A2型和A3型3组。分别记录骨折愈合时间、并发症及Harris髋关节功能评分。结果Harris髋关节评分:优29例,良19例,可6例,差3例。三组骨折愈合时间差异无统计学意义(P>0.05)。优良率A1型和A2型之间差异无统计学意义(P>0.05),和A3型之间差异有明显统计学意义(P<0.05)。结论股骨近端锁定接骨板治疗老年股骨粗隆间骨折具有创伤小、操作安全、内固定可靠、并发症少的优点,远期效果满意。

Objective To analyze the clinical values of the senile intertrochantefic fracture treated with locking proximal femur plate （LPFP）. Methods Fifty seven elderly patients with intertrochanteric fracture, which treated with the LPFP, were retrospective analyzed. The follow-up period was 12 ~ 24 months and the mean follow-up period was 16 months. The patients were divided into 3 groups named as A1, A2, and A3 according with the AO typing method of the bone fractures, Results The Harris thud scores showed that： Excellent curative effect was 29 cases, good curative effect was 19 cases, appropriate curative effect was 6 cases, and the dissatisfactory curative effect was 3 cases. There was no statistical significance in the fracture healing duration be- tween the 3 groups （P〉0. 05）. There was no statistical sighificance in the fineness rate between the group A1 and the group A2 （P 〉0. 05）. And there were statistical significance between the group A1 and the group A3, and between the group ）A2 and the group A3 （P 〈0.05 ）. Conclusion The senile intertrochanteric fracture treated with LPFP embodied many merits, such as the little wound, the operation safety, the reliable internal fixation, and the lower complications; and there was better long-term cura- tive effect.