外固定架固定改良技术治疗老年高风险股骨转子间骨折

A clinical analysis of modified external fixation technique for intertrochanteric fractures in high-risk elderly patients

目的研究外固定架固定改良技术治疗老年高风险股骨转子间骨折的临床疗效。方法回顾性分析2014-03至2015-05治疗的30位老年高风险股骨转子间骨折患者。采用我科外固定架固定改良技术对其进行治疗。结果 28例获得随访,时间为3~14个月,平均6个月。所有患者骨折愈合良好,愈合时间为3~6.5个月,平均3.4个月。按髋关节Harris评分：26例优秀,1例良好,1例一般,0例差,优良率为96.4%（27/28）。2例发生轻微的髋内翻。无金属过敏及股骨头被螺钉切割的患者。结论该法较传统手术,手术时间短、术中出血量少、术后骨折愈合时间短,操作简单,在治疗手术耐受力差的老年患者具有明显优势。

Objective To research the clinical effect of modified external fixation technique for intertrochanteric fractures in high-risk elderly patients. Methods From August 2008 to December 2009,30 high-risk elderly patients with femoral intertrochanteric fracture were treated by modified external fixation technique. The data were retrospectively analyzed. Results 28 cases were followed up successfully. The follow-up period ranged from 3 months to 14 months（ mean 6 months）. Fractures were healed after 3 to 6. 5months（ mean 3. 4 months） in 28 cases. On the basis of Harrris score,26 cases were excellent,1 cases were good,1cases were fair and no case was poor,so the excellent and good rate was 96. 4%（ 27 /28）. In 2 cases,slight hip varus developed. In all the cases,metal sensitivity and cutting the femoral head by screw were not seen. Conclusions The advantages of the modified external fixation technique compared with traditional surgery include shorter operation time,less blood loss during operation and shorter fracture healing time. The procedure is easy. And the clinical curative effect is remarkable for high-risk elderly patients who are poorly tolerant to surgery.