锁定钢板联合骨水泥治疗高龄股骨髁上骨折的临床研究

Clinical analysis of locking plate combined with bone cement in the treatment of femoral supracondylar fracture in elderly patients

目的:探讨锁定钢板联合骨水泥治疗高龄患者股骨髁上骨折的疗效。方法:选取56例高龄患者股骨髁上骨折患者,按照治疗方式分为对照组与观察组,各28例。对照组给予锁钉钢板治疗,观察组给予锁定钢板联合骨水泥法治疗,术后采用Merchan评分标准评估膝关节功能。结果:对照组优良率为60.7%,显著低于观察组的75.0%(P<0.01)。结论:锁定钢板联合骨水泥治疗高龄股骨髁上骨折操作简单,内固定可靠,术后膝关节功能恢复好。

Objective： To evaluate the effects of locking plate combined with bone cement in the treatment of femoral supracondylar fracture in elderly patients. Methods： Fifty-six elderly patients with femoral condyle fracture were divided into the control group and observation group（ 28 cases each group）. The control group and observation group were treated with locking plate and locking plate combined with bone cement,respectively. The knee joint functions in two groups were evaluated using the Merchan grading standard after operation. Results： The excellent and good rate in control group（ 60. 7%） was significantly lower than that in observation group（ 75. 0%）（ P〈0. 01）. Conclusions： The treatment of femoral supracondylar fracture with locking plate combineded with bone cement in elderly patients is simple operation,reliable fixation and good function recovery of knee joint after operation.