微创锁定钢板内固定治疗老年股骨粗隆间骨折82例临床分析

The Micro-invasive Treatment of Internal Fixation with Locking Compression Plate for Aged Patients with Intertrochanteric Femur Fractures: 82 Cases Report

目的评价微创锁定钢板治疗老年股骨粗隆间骨折的临床疗效。方法回顾性分析2005年2月-2012年2月我院采用微创锁定钢板内固定治疗82例老年股骨粗隆间骨折患者的临床资料，年龄65～95岁，均合并内科疾患。骨折按Evans分型：Ⅰ型稳定型骨折42例；Ⅰ型不稳定型骨折30例；Ⅱ型反粗隆间骨折10例。结果本组82例均获随访，随访时间平均11（9—15）个月；骨折全部愈合；无钢板变形、折断，螺钉松动以及髋内、外翻畸形等并发症发生，疗效评价：优70例，良8例，可4例，优良率95．1％。结论老年股骨粗隆间骨折采用微创锁定钢板内固定治疗，操作简单，固定可靠，创伤小，有利早期活动，并发症少，功能恢复好。

Objective To evaluate the effect of micro-invasive treatment of internal fixation with locking compression plate （LCP） for aged patients with intertrochanteric femur fractures. Methods The clinical da- ta of 82 intertrochanteric femur fracture patients, aged from 65 to 95 years, performed mini-invasive treatment of LCP fixation were reviewed. All cases were combined internal diseases. According to the Evans classification, there was stable fracture of type Ⅰ in 42 cases, unstable fracture of type Ⅰ in 30 cases and reverse oblique frac- ture of type Ⅱ in 10 cases. Results All cases were followed up for 9 to 15 months with an average of 11 months. All fractures were achieved healing without complication as transfiguration, broken and loosening of in- ternal fixator and deformity of coax vara and coax valgus. The outcome revealed excellence in 70, good in 8 and fair in 4, and the fineness rate was 95.1%. Conclusion The mini-invasive treatment of LCP internal fixa- tion is an easy and effective method for aged patients with intertrochanteric femur fractures with advantages as reliable fixation, mini-trauma, less complication and good functional rehabilitation.