股骨近端解剖锁定钢板治疗外侧壁危险型股骨粗隆间骨折

Anatomic locking plate treatment for femoral intertrochanteric fractures with vulnerable lateral femoral wall

目的 浅议股骨粗隆间骨折外侧壁危险型的特点及意义,评价股骨近端解剖锁定钢板治疗外侧壁危险型股骨粗隆间骨折的临床疗效。方法 选取2012年1月-2013年7月,采用切开复位、股骨近端解剖锁定钢板内固定治疗外侧壁危险型股骨粗隆间骨折的20例。根据术后髋关节功能、站立及行走等恢复情况评价临床效果。结果 20例获得随访,随访时间12~18个月,根据评定标准,优17例,良3例,优良率100%。结论股骨近端解剖锁定钢板治疗外侧壁危险型股骨粗隆间骨折安全可靠、疗效良好,具有一定的临床优势,尤其适合于需切开复位以及条件有限的基层医院。

Objective To evaluate the efficacy of anatomic locking plate treatment for femoral intertrochanteric fractures with the most vulnerable lateral femoral wall. Methods Twenty patients with femoral intertrochanteric frac- tures were operated with anatomic locking plate during January 2012 and July 2013. All the postoperative function indexes were messured. All cases were followed up for 12-18 months. Results According to the Harris score, 17 cases were classified as excellent and 3 cases as good. All patients had good or excellent prognosis. Conclusions Anatomic locking plate treatment provides stable fixation with high efficacy. It has advantages to treat femoral intertrochanteric fractures with the vulnerable lateral femoral wall.