锁定钢板治疗人工髋关节假体周围骨折的临床疗效

Clinical analysis of locking plate on fractures around artificial hip prosthesis treatment

目的探讨锁定钢板治疗人工髋关节假体周围骨折的临床疗效。方法将选取2013年3月至2014年3月收治的人工髋关节假体周围骨折行锁定钢板治疗患者18例，在行手术前进行锁定钢板，锁定钢板应防止于靠近股骨干外侧骨面，若患者骨缺损则应行植骨术，术中应选择较长钢板，为防止松动，应固定钢板近端。对比Harris评分。结果行锁定钢板治疗1年后均未发生下肢深静脉栓塞和螺钉松动等严重并发症。与术前比较，16例术后Harris评分无影响，2例术后Harris评分有所下降。Harris评分无影响患者与受影响患者比较差异有统计学意义（P〈0．05）。结论对人工髋关节假体周围骨折行锁定钢板治疗效果显著，值得临床推广应用。

Objective To analyze the clinical effect of locking plate on fractures around artificial hip prosthesis. Methods Eighteen cases of fracture patients around artificial hip prosthesis from March 2013 to March 2014 who were treated locking plate were selected as the study objects. The plate was locked before surgery without being close the femoral shaft outside of the bone surface. If the patients had bone defects, the surgery chose a longer plate and the the proximal plate was fixed to prevent get loosen, the difference was statistically significant（ P 〈 0. 05 ） after Harris score comparison. ReSets Over one year after the plate locking, no serious complication of deep venous thrombosis and screw loosening oc- curred. Harris score of 16 patients had no change in comparison with that of before surgery, while that of 2 cases of patients declined. The number of patients whose Harris scores were affected （2 cases） and those whose were not affected was statis- tically significant （ P 〈 0. 05 ）. Conclusions Locking plate for treating fractures around the artificial hip prosthesis is ef- fective and is worthy of promotion.