锁定型钢板固定联合药物治疗股骨粗隆间骨质疏松性骨折的效果观察

Observation of the effect of locking plate fixation combined with medication in the treatment of osteoporotic intertrochanteric fracture

目的探讨锁定型钢板固定联合药物治疗股骨粗隆间骨质疏松性骨折的临床效果。方法选取2015年1月~2016年2月因股骨粗隆间骨质疏松性骨折于我院就诊的80例患者作为研究对象,随机分为对照组和观察组,各40例。对照组单独采用锁定型钢板固定治疗,观察组采用锁定型钢板固定联合抗骨质疏松药物,比较两组的临床疗效。结果观察组的下地负重时间及骨折愈合时间短于对照组,差异有统计学意义(P<0.05);观察组治疗12个月后的关节功能总优良率(97.50%)高于对照组(82.50%),差异有统计学意义(P<0.05);观察组治疗后的股骨颈和腰椎骨密度高于对照组,差异有统计学意义(P<0.05)。结论锁定型钢板固定联合药物治疗股骨粗隆间骨质疏松性骨折的效果显著,术后恢复快,有助于骨密度改善,值得推广应用。

Objective To investigate the clinical efficacy of locking plate fixation combined with medication in the treatment of osteoporotic intertrochanteric fracture.Methods Altogether 80 patients with osteoporotic intertroehanteric fracture who were treated in our hospital from January 2015 to February 2016 were selected and randomly divided into the control group and the observation group,each with 40 cases.The control group was treated with locking plate fixation alone,and the observation group was treated with locking plate fixation combined with anti-osteoporosis drugs.The clin- ical efficacy of the two groups were compared.Results The start time of postoperative weight-bearing exercise and frac- ture healing time of the observation group were shorter than those of the control group,with significant difference （P〈0.05）;The total excellent and good rate of joint function of the observation group at post-operative 12 months was 97.50%,which was higher than that of the control group （82.50%）,with significant difference （P〈0.05）.Tbe bone mineral density of femoral neck and lumbar spine of the observation group was higher than that of the control group,with signif- icant difference （P〈0.05）.Conclusion The effect of combination of locking plate fixation and medication demonstrates in the treatment of osteoporotic intertrochanteric fracture is effective,which can quickly recover and improve bone density, it is worthy of promotion nd application.