股骨近端锁定板结合中医正骨治疗股骨粗隆间骨折的临床疗效

To Evaluate the Clinical Efficacy of Locking Compression Plate( LCP) Combined with Chinese Bone Setting for Treatment of Intertrochanteric Femur Fracture

目的：探讨锁定加压钢板结合中医正骨手法治疗股骨粗隆间骨折的临床疗效。方法：选择32例于我科住院接受治疗的股骨粗隆间骨折患者，所有患者入院后均运用“拔伸牵引，旋转屈伸”行中医正骨处理后采用股骨近端锁定板内固定法（Locking Compression Plate，LCP）手术治疗，所有患者术后进行随访，记录其愈合时间以及Harris评分。结果：32例手术均获成功，术后随访7～12月，平均（9.8±1.4）个月。骨折愈合时间为13～19周，平均（16.3±2.7）周，骨折均良好愈合；Harris髋关节评分：优（＞190分）17例，良（80～89分）13例，一般（70～79分）2例，差（＜70分）0例，优良率93.8％。结论：中医正骨加LCP内固定法治疗股骨粗隆间骨折复位保持良好，不变形，固定坚实可靠。

Objective：To evaluate clinical efficacy of locking compression plate （LCP）combined with Chinese bone setting in the treat-ment of intertrochanteric femur fracture.Methods：Thirty-two patients were received Chinese bone setting and internal fixation of LCP at the proximal femur.All patients were followed up after the operation to record their healing time and Harris scores.Results：All surgeries were completed successfully.Followedup period was between 7 to 12 months,with 9.8 ±1.4 months on average.All fractures healed 13 to 19 weeks after surgery,with 16.3 ±2.7 weeks on average.According to Harris Hip Score,the functional recovery of hip was as follows：Excellent（〉90 points）17 cases;Good（80-89 points）13 cases;Fair （70-79 points）2 cases;Poor （〈70 points）0 cases,the total ex-cellent and good rate was 93.8%.Conclusion：LCP combined with Chinese bone setting has good treatment efficacy for intertrochanteric femur fracture.