经皮置入锁定加压钢板在60例股骨骨折中的临床应用

Clinical Application of Percutaneous Placement of Locking Compression Plate in 60 Cases of Femoral Fractures

目的讨论经皮植入锁定加压钢板在股骨骨折患者中的运用价值。方法将120例股骨骨折患者随机分为观察组和对照组各60例。对照组采用传统治疗方法,观察组采用经皮植入锁定加压钢板法。比较两组术后疗效、并发症发生情况和髋关节功能,以评价两种方法疗效。结果经过治疗,观察组与对照组3月后总有效率分别为82.5%、70.0%,6月后总疗效为96.67%和76.67%。两组差异显著,P<0.05。观察组疼痛评分、运动幅度评分、步行评分和总分分别为5.12±1.04、5.37±1.72、5.18±1.11、15.25±1.55。两组在各分项评分方面差异不显著,P>0.05;但是在总得分方面,差异显著,P<0.05。观察组固定物折断、股骨干骨折、髋内翻、感染、患肢缩短等并发症分别有1、0、2、0、1例,并发症发生率为6.67%。对照组并发症发生率为26.67%。除固定物折断外,各并发症及并发症整体发生率,两组有统计学差异,P<0.05。结论采用经皮置入锁定加压钢板治疗股骨骨折可以提高疗效,提高髋关节功能评价总分,降低并发症发生率,值得在临床中进一步使用。

Objective To discuss the application value ofpercutaneous implantation of locking compression plate in the fractures of the femur. Methods 120 cases of femoral fractures were randomly divided into the observation group and the control group with 60 cases in each group. The control group used the traditional methods of treatment; the observation group was treated with percutaneous implantation of locking compression plate method. The postoperative efficacy, complications and hip function oftwo groups were compared to evaluate 2 methods. Results The total efficiency in the observation group and the control group was 82.5%, 70.0% three months after treatment respectively, and 96.67% and 76.67% six months after treatment respectively; the differences between two groups were statistically significant （P〈0.05）. The pain score, range of motion, the walk score and total score was 5.12 ±1.04, 5.37 ±1.72, 5.18 ±1.11, 15.25 ±1.55 in the observation group; the differences of analytic scores were not statistically significant （P〉0.05）, while the difference of total score was statistically significant （P〈0.05）. The cases of fixtures fracture, femoral shaft fracture, hip varus, infection, limb shortening in the observation group were 1, 0, 2, 0, 1, with the incidence of complications of 6.67%; the incidence of complications was 26.67% in the control group. In addition to fixture break, the complications and the overall incidence, there was a statistically significant difference between the two groups （P 〈0.05）. Conclusions Using percutaneous placement of locking compression plate in treatment of femoral fractures can improve the curative effect, improve hip function evaluation scores, and reduce the incidence of complications, which is worthy of further clinical use.