46例股骨粗隆间骨折术中的板钉分布

Distribution of plate and nails in 46 cases of femur intertrochanteric fracture operation

目的：回顾性分析股骨粗隆间骨折术中钢板与螺钉的位置及其规律。方法：应用股骨近端解剖型锁定板闭合复位内固定治疗股骨粗隆间骨折46例,所有患者均应用牵引架进行闭合复位。结果：所有患者获得8个月～5年随访。所有患者的骨折全部愈合,无术后钢板断裂松动及再骨折的现象。结论：应用股骨近端解剖型锁定板治疗老年股骨粗隆间骨折,合理的钉板位置对于维持骨折的稳定性起着重要的作用。

Objective： To analyze retrospectively the position and regularity of plate and screws in the femur intertrochanteric fracture operation. Methods： 46 cases of patients with femur intertrochantefic fracture were treated with closed reduction and internal fixation by proximal femoral anatomic locking plate. Traction frame was used to complete the closed reduction. Results： All patients were followed up after 8 months to 5 years. The phenomenon such as plate fracture, loose and re - fracture did not happen after operation. Conclusion： The reasonable position of plate and nails plays an important role in maintaining the stability of the fracture in the application of the proximal femoral anatomic locking plate in the treat- ment of intertrochanteric fractures in the elderly.