锁定钢板治疗老年股骨转子间骨折的临床疗效观察

Effects of locking compression plate on the treatment of geriatric femoral intertrochanteric fracture

目的探讨锁定钢板治疗老年股骨转子间骨折的临床疗效。方法老年股骨转子间骨折的患者63例,其中男25例,女38例。年龄62~89岁,平均（75.2±5.6）岁。骨折按Evans标准分类：I型4例,Ⅱ型16例,Ⅲ型22例,Ⅳ型18例,V型3例。均采用股骨近端锁定钢板内固定治疗,观察骨折愈合、肢体功能恢复、有无并发症的发生等情况。按照改良Harris评分进行髋关节功能评估。结果 63例均获得随访,随访12~21个月,平均（15.3±3.8）个月。骨折均愈合,无骨不连、内固定松动、无髋内翻及其他并发症的发生。改良Harris评分评估髋关节功能,优良者占93.6%。结论股骨近端锁定钢板治疗老年转子间骨折固定牢靠,临床疗效满意,是治疗老年转子间骨折的良好选择。

Objective To investigate the therapeutic effect of proximal femoral locking compression plate（LCP） on treating senile osteoporotic intertrochanteric fractures.Method 63 patients with senile osteoporotic intertrochanteric fractures were treated by proximal femoral locking compression plate fixation,including 25 males and 38 females,mean age 75.2±5.6（range 62~89） years.According to Evans classification,type 1 was in 4 cases;type II 16 cases;type Ⅲ 22 cases;type IV 18 cases and type V 3 case.Bone healing,functional restoration of the limbs and complications were observed and evaluated.Result 63 patients were followed-up,with a mean follow-up period of（15.3±3.8） months,ranges from 12~21 months.The bone union were got in all cases.No complications such as non-union,internal fixation material loosening or coxa vara were found.According to Harris hip joint functional criteria,93.6% of cases were good.Conclusion Proximal femoral locking compression plate has reliable fixation and satisfactory results for treatment of senile osteoporotic intertrochanteric fracture.