锁定钢板插入技术在股骨粗隆骨折中的应用

Application of locking plate insertion in intertrochanteric fracture

目的：探讨在股骨粗隆骨折患者中应用锁定钢板插入技术的效果。方法60例股骨粗隆骨折患者均采用锁定钢板插入技术，观察手术情况，随访6、12个月观察髋关节评分和并发症情况。结果60例患者平均手术时间为（65.2±13.6）min，平均术中失血量（451±59）ml。在手术中59例患者切口一期愈合。平均随访（17.7±5.3）个月，所有患者骨折均骨性愈合，所用患者无断钉、钢板断裂及松动现象。术后6、12个月采用Harris髋关节评分，术后6个月患者优良率为84.5%，术后12个月优良率为93.1%。早期并发症褥疮1例，感染2例，下肢深静脉血栓0例；远期观察无股骨头缺血性坏死或骨不连的发生。结论锁定钢板插入技术治疗股骨粗隆骨折效果显著，并发症少。

Objective To study the application of locking plate insertion in intertrochanteric fracture. Methods Sixty patients with intertrochanteric fracture were operated through locking plate insertion. They were observed during the operation,and followed up for 6 and 12 months,the hip score and complications were observed. Results The mean operation time was（65. 2 ± 13. 6）min and mean intraoperative blood loss was（451 ± 59）ml. Fifty-nine patients had a healing for surgical incision. Mean followed-up was（17. 7 ± 5. 3）months,all patients had bone fracture healing,without breaking nail, plate fracture or loosening. Harris hip score was used at 6 and 12 months after operation,the good rate was 84. 5% after 6 months and 93. 1% after 12 months. There was no long-term complication of avascular necrosis or nonunion;the early complications of bedsores occured in 1 case,infection in 2 cases and there was no deep vein thrombosis. Conclusions Locking plate insertion technique has significant effect,fewer complication in the treatment of intertrochanteric fractures.