综合康复训练对股骨粗隆间骨折锁定钢板断裂的临床价值

Comprehensive rehabilitation training for the clinical value of intertrochanteric fracture locking plate fracture

目的探讨采用综合康复训练对股骨粗隆间骨折锁定钢板(LCP)治疗术后出现钢板断裂的临床价值。方法将我院治疗的股骨粗隆间骨折患者随机分为两组,对照组予锁定钢板加压内固定方式治疗,观察组在对照组基础上联合综合康复训练。结果术后随访发现对照组发生锁定钢板断裂11例、钢板松动17例、钢板断钉14例;观察组分别为2例、4例、3例,观察组术后1年在疼痛、功能、运动范围的Harris评分比较中占优。结论临床上采用规范手术操作联合综合康复训练,能够减少股骨粗隆间骨折内固定术后锁定钢板断裂的发生率。

Objective To evaluate the clinical value of plate fracture of comprehensive rehabilitation training for intertrochanteric fractures occur locking plates（LCP） after treatment. Methods Future hospital treatment of intertrochanteric fracture were randomly divided into two groups, control group of patients were treated with locking plate internal fixation pressure treatment, the observation group treated with joint comprehensive rehabilitation training on basis of the contral group. Results Postoperative follow-up found that patients in the control group had broken the lock plate 11 cases, 17 cases of loose steel, steel broken nails 14 cases, the observation group were two cases, four cases,three cases, the observation group after 1 year in pain, function, range of motion Harris score comparison dominant.Conclusion Clinically joint comprehensive rehabilitation training through the use of standardized surgical procedure can reduce intertrochanteric fracture fixation locking plate fracture incidence.