锁定加压钢板行微创技术治疗老年性股骨远端骨折临床疗效分析

Clinical Efficacy of LCP with MIPO on the Elderly Patients with Distal Femur Fracture

目的:评价用锁定加压钢板行微创技术治疗老年性股骨远端骨折的临床疗效。方法:自2012年1月到2015年6月间,我院用锁定加压钢板行微创技术治疗27例60岁以上老年性股骨远端骨折患者(其中1例为双侧),通过观察患者伤口愈合情况、骨折愈合情况及相关并发症,并采用Kolmert评分标准评价其临床效果。结果:本组27例患者均获得随访,其中1例患者(单侧)在术后25 d死亡,其余病例随访6-30月,平均14.7月,术后切口有1例延迟愈合,余均一期愈合,骨折在末次随访均骨性愈合,未见骨折移位、内固定物失效、骨折畸形愈合、骨折不愈合等不良并发症,根据Kolmert评分标准,优10例,良13例,可3例,差1例,优良率为85%。结论:锁定加压钢板行微创技术治疗老年性股骨远端骨折可达到固定牢固、能早期功能练习、术后并发症少、术后效果满意的疗效。

Objective： To evaluate the clinical efficacy of locking compression plate（LCP） with minimally invasive plate osteosynthesis（MIPO） on the elderly patients with distal femur fracture.Methods： From January 2012 to June 2015,27 cases over 60 years distal femoral fracture patients were cured with LCP with MIPO in our hospital.We evaluate the clinical efficacy by observing incision healing,fracture healing and related complications and analyzing Kolmert knee score.Results： 27 patients were followed up for 6-30 months,average of 14.7 months,one patient（unilateral） died in the 25 d after operation.26 cases＇ incision recoverd and one case＇ was delayed healing after operation.After LCP plate treatment,fractures were healed in all cases at the end of follow-up.All cases were no fracture displacement,internal fixation failure,malunion,nonunion and other undesirable complications.According to Kolmert knee score,the postoperative outcomes showed 10 cases were excellent,13 cases were good,3 cases and 1 case was poor,total good rate was 85 %.Conclusions： Using LCP plate with MIPO method is effective in senile distal femoral fracture for old patients.Fixation can be achieved,lead to early functional exercise,fewer complications and postoperative satisfactory results.