股骨近端锁定解剖板治疗老年股骨转子周围骨折

Application of using locking anatomic plates of the proximal of the femur in fractures of old age around trochanter

目的探讨应用股骨近端锁定解剖板治疗老年股骨转子周围骨折的疗效与特点。方法选择2006年1月-2010年8月收治的56例老年股骨转子周围骨折病人应用股骨近端锁定解剖板治疗。于术后1、3、6、12个月复查,通过临床检查、摄X线片了解骨折愈合情况。同时与应用DHS治疗的45例患者进行对比分析。结果 LCP组56例全部获得随访,时间平均9.4个月。骨折愈合时间平均5.3个月,未发生骨折不愈合、髋内翻、内固定失效等并发症,随访期无死亡病例。两组优良率比较,差异有统计学意义（P〈0.05）。结论股骨近端锁定解剖板是治疗老年股骨转子周围骨折的有效方法,有利于功能的早日恢复,降低病死率。

Objective To observe the effects and traits of applying locking anatomic plates to the proximal femur for the old-aged aroundtrochanteric fractures. Methods From January 2006 to August 2010, 56 cases with old-aged aroundtrochanteric fractures were selected as samples. Clinical and radiographic data were retrospectively reviewed at the 1st, 3rd, 6th, 12 th month after operations. In the meantime, analysis of comparison between them and ones with the DHS treatment was conducted. Results All of the operations were successful. Altogether 56 patients were followed up,average 9.4 months. All of their fractures were healed in a mean time of 5.3 months without delayed union, nonunion,hip equinovarus, failure of screws and plates or death. Comparison of the excellent and goodrate of two groups, the differences was significant（P〈0.05）. Conclusion Applying locking anatomic plates to the proximal femur can provide stable fixation with a good functional outcome, which is an effective method for the old-ageed aroundtrochanteric fractures and reducing death rate.