应用股骨近端锁定钢板治疗股骨粗隆间骨折的疗效分析

Treatment of femoral intertrochanteric fractures with proximal femoral locking plate

目的探讨股骨近端锁定钢板内固定治疗股骨粗隆间骨折的临床疗效。方法回顾性分析2008年11月至2013年12月采用股骨近端锁定钢板内固定治疗的34例股骨粗隆间骨折患者的临床疗效。结果手术时间55~145 min,平均75 min;术中出血量120~450 ml,平均220 ml。所有病例获5~24个月随访,平均9个月。全部骨折均获骨性愈合,平均愈合时间3.6个月,无内固定松动断裂、髋内翻及感染患者。按Harris髋关节功能评分,优良率为88.24%。结论股骨近端锁定钢板可对骨折提供稳定固定,适用于稳定性及不稳定股骨粗隆间骨折,操作方便,术后患者能早期离床活动,康复快,临床疗效满意,是治疗该类骨折的理想方法。

Objective To investigate the clinical effect of proximal femoral locking plate on femoral intertrochanteric frac- tures. Methods The clinical effects of 34 patients of temoral intertrochanteric fractures treated with proximal femoral locking plate from November 2008 to December 2013 were retrospectively analyzed. Results The operation time was 55 - 145 min with an average of 75 rain, and the estimate blood loss was 120 - 450 ml with an average of 220 ml. All patients were followed up for 5 - 24 months, with an average of 9 months. Bone union occurred in all patients with an average of 3.6 months, postoperatively without complications of loosening or breakage of prosthesis, hip varus and infection. According to Harris hip function scores, the excellent-to-good rate was 88.24%. Conclusion Proximal femoral locking plate can provide reliable fixation for femoral inter- trochanteric fractures, and is not only suitable for stable type but also unstable type. It can be easily operated and used as an ide- al method for such fractures with early postoperative ambulation, faster recovery and satisfactory clinical effect.