1例股骨粗隆间粉碎性骨折的伤残评定分析

Disability evaluation on a case of comminuted intertrochanteric fracture

目的探讨股骨粗隆间粉碎性骨折的伤残评定要点。方法对1例交通事故致左股骨粗隆间粉碎性骨折的伤残重新鉴定案件,通过临床影像学资料的阅片分析,评估伤者的骨折类型、鉴定时限及关节功能。结果被鉴定人左股骨粗隆间粉碎性骨折经内固定术后9个月余,现左髋关节活动部分受限,根据关节功能丧失情况评定为10级伤残。结论关节内外骨折的准确判断、鉴定时限是鉴定股骨粗隆间骨折伤残程度的关键。

Objective To summarize the key points of disability evaluation for the comminuted intertrochanteric fracture （CITF）. Methods The disability reappraisal was performed in a case of CITF of the left femur due to traffic accident. The fracture type, judicial identification timing and the joint function were assessed base on clinical imaging data. Results The appraised person presented with partial limitation of the left hip movement 9 months after internal fixation, and was evaluated as Grade X disability. Conclusion The accurate distinction between intra- and extra-articular fracture and identification timing are pivotal for evaluating the disability of CITF.