股骨近端解剖型锁定钢板内固定治疗股骨粗隆下粉碎性骨折的临床观察

Proximal Femur Anatomic Locking Plate Fixation for Treatment of Femoral Trochanter Comminuted Fracture

目的:观察股骨近端解剖型锁定钢板内固定治疗股骨粗隆下粉碎性骨折的临床效果。方法:回顾性分析95例骨粗隆下粉碎性骨折患者的临床资料,其中45例采用动力髋螺钉(DHS)治疗,视为对照组,其余50例采用股骨近端解剖型锁定钢板内固定治疗,视为观察组;比较两组患者的治疗效果。结果:两组患者的平均愈合时间差异无统计学意义(P>0.05)观察组的随访期间器械相关并发症发生率低于对照组,差异具有统计学意义(P<0.05);观察组末次随访患肢功能的Harris评价优良率高于对照组,差异具有统计学意义(P<0.05)。结论:股骨近端解剖型锁定钢板内固定治疗股骨粗隆下粉碎性骨折疗效肯定,并发症较少,骨折固定稳定,具有较高的临床应用价值。

Objective：To observe the clinical effect of proximal femur anatomic locking plate fixation for treatment of femoral trochanter comminuted fracture. Methods：The clinical data of 95 cases of bone tuber-osity comminuted fracture were retrospectly analyzed. And including 45 cases treated with dynamic hip screw （ DHS） , as the control group;the rest of the 50 cases with proximal femur anatomic locking plate internal fix-ation treatment, as the observation group; the therapeutic effect of two groups were compared. Results： The patients of two groups had no significant difference in the average healing time （ P〉0.05）;The follow-up of equipment related complication rate the observation group was lower than that in control group （ P 〈 0.05）;the Harris of the last follow-up of limb function evaluation of the observation group was higher than that of con-trol group （ P 〈 0.05） . Conclusion：The effect of proximal femur anatomic locking plate fixation for treatment of femoral trochanter comminuted fracture curative is affirmation, and has fewer complications, fracture fixa-tion stability, has high clinical value.