股骨近端解剖型钢板治疗股骨粗隆下不稳定性骨折

Surgical treatment of unstable subtrochanteric femoral fractures with anatomical bone plates

目的 :探讨股骨近端解剖型钢板治疗股骨粗隆下不稳定骨折的临床价值。方法 :自 2 0 0 1年 1月～ 2 0 0 3年 6月采用切开复位、股骨近端解剖型钢板内固定治疗股骨粗隆下不稳定骨折 2 3例。根据术前术后X线片及术后髋关节功能、站立及行走等恢复情况评价内固定效果。结果 :17例获得随访 ,随访时间 6个月～ 3年 ,根据黄公怡评定标准 ,优 9例 ,良 6例 ,差 2例。结论 :股骨近端解剖型钢板治疗高位股骨粗隆下不稳定骨折具有安全可靠、能允许术后早期部分负重等特点 ,是治疗高位股骨粗隆下骨折的理想选择。

Objective:To discuss clinical value of the surgical treatment of unstable subtrochanteric femoral fractures with anatomical bone plates.Method:Twenty-three patients were treated with unstable subtrochanteric femoral fractures with anatomical bone plates from Jan. 2001 to Jun. 2003,perioperative,postoperative,and follow-up data were analyzed.Resul:Seventeen patients were followed-up for 6 months～3 years,the results were excellenct 9 cases,good 6 cases,poor 2 cases according to HUANG's assay standard.Conclusion:The results show that the anatomical bone plates has a low failure in unstable subtrochanteric fractures which is a safe and idea implant for the treatment of the unstable proximal femoral fractures.