微创内固定系统治疗严重股骨上段骨折的可行性和效果

目的探讨微创内固定系统对于严重股骨上段骨折的治疗可行性与效果。方法选取2010年10月-2012年10月期间收治的严重股骨上段骨折患者共40例作为研究对象,按照数字随机表方式将其划分为观察组、对照组,每组患者各计20例,以上患者均为闭合性损伤。观察组患者采取微创内固定系统治疗,治疗方法为:于其股骨大转子的外侧作一约5 cm的切口,将AOLISS钢板放置于其中,术后3 d由护理人员引导患者进行功能训练。对照组为常规治疗方法。出院后每个月要求患者回院进行1次X线检查,以确定其骨折康复情况。结果对所有患者进行回访。观察组患者创口均Ⅰ级愈合,骨折部位骨性愈合平均时间为(7.0±0.5)个月。根据对膝关节功能恢复进行评分,优秀14例,良共5例,尚可1例。对照组患者创口12例为Ⅰ级愈合,8例患者为级愈合,愈合平均时间为(12.5±1.2)个月。膝关节功能恢复评分方面,优秀8例,良7例,尚可5例。观察组各项治疗结果均优于对照组,数据对比存在显著差异(P<0.05),具有统计学意义。结论对严重股骨上段骨折实施微创内固定系统治疗具有安全性与可行性,且患者康复情况良好。

Objective To analyze and explore the minimally invasive internal fixation system for the treatment of serious feasibility and effect of the proximal femur fracture. Methods severe proximal femur the hospital from October 2010 to October 2012 fractures treated patients with a total of 40 cases as the research object, according to the random number table method can be divided into observation group and control group, 20 cases of patients in each group, the patients were closed injury. The patients in the observation group were treated with minimally invasive internal fixation system, treatment method is： in the lateral trochanter of femur made an incision about 5 cm, the AOLISS plate disposed therein, postoperative 3 D by nursing personnel in patients with functional training guide. The control group received conventional treatment method. Each month after discharge in patients with back to school 1 times of X-ray examination, to determine the fracture recovery. Rosults all patients were follow-up on. The patients in observation group were healed wound, fracture healing time was （7 ± 0.5） months. According to the score on the recovery of knee joint function, excellent 14 cases, good in 5 cases, 1 cases were fair. Patients in the control group 12 cases of wound healing in grade I, 8 cases as grade healing, healing time for an average of （12.5 ± 1.2） months. Recovery of knee joint function score, excellent in 8 cases, good in 7 cases, 5 cases were fair. To observe the results of treatment group were better than the control group, there was a significant difference in comparison of the data （P 〈 0.05）, with statistical significance. Conclusion Minimally invasive internal fixation system has safety and feasibility in treatment of severe proximal femoral fracture, and the rehabilitation of patients are good.