股骨近端解剖钢板治疗股骨近端骨折

Proximal femoral anatomical plate in the treatment of proximal femoral fractures

目的：观察股骨近端解剖钢板治疗股骨近端骨折的临床疗效。方法：采用股骨近端解剖钢板治疗股骨近端骨折患者69例，并随访观察临床疗效。结果：本组69例解剖复位52例、近解剖复位15例、功能复位2例。61例切口一期愈合，8例切口延迟愈合。所有病例均获随访，随访时间3～24个月，无螺钉退出、断钉、继发股骨骨折。骨折均愈合良好，平均愈合时间5个月。无1例死亡。4例出现I度褥疮，经对症治疗后痊愈。按照Harris髋关节功能标准评，优56例、良9例、差4例。结论：采用股骨近端解剖钢板治疗股骨近端骨折，临床疗效确切，值得推广。

Objective: To observe the clinical effect of proximal femoral anatomical plate in the treatment of proximal femoral fracture. Methods: 69 patients with proximal femoral fractures were treated with proximal femoral anatomical plate; the clinical effect was followed up and observed. Results: Out of 69 cases, there were 52 cases of anatomical reduction, 15 cases of near anatomical reduction, 2 cases of functional reduction. There were 61 cases of incision healing and 8 cases of incision delayed healing. All the cases were followed up for 3 to 24 months and there were no screw withdrawal, broken nail or secondary femoral fractures. All fractures healed well, and the average healing time was 5 months. There was no death case, 4 patients who had I degree bedsore were cured after symptomatic treatment.According to the Harris hip function standard, 56 cases were excellent, 9 cases were good and 4 cases were poor in recovery. Conclusion:Proximal femoral anatomical plate had significant clinical effect in the treatment of proximal femoral fracture and it was worthy of promotion.