股骨近端锁定钢板治疗老年性股骨粗隆间粉碎性骨折的临床研究.docVIP

股骨近端锁定钢板治疗老年性股骨粗隆间粉碎性骨折的临床研究 　　【摘要】 目的：研究老年性股骨粗隆间粉碎性骨折患者运用股骨近端锁定钢板固定治疗的临床效果。方法：选择笔者所在医院2011年1月-2014年 　　1月间诊治的180例老年股骨粗隆间粉碎性骨折的患者，将其分为两组，对照组的90例老年性股骨粗隆间粉碎性骨折患者实施DHS内固定治疗，观察组的90例患者实施股骨近端锁定钢板内固定治疗，比较两组患者的临床治疗效果。结果：本文所选患者均未见神经血管损伤、切口感染。观察组患者有3例出现髋内翻畸形，无断钉。对照组患者有24例出现髋内翻急性，9例出现断钉现象。术后患肢功能根据Harris评分标准：对照组患者的优良率为73.33%，观察组患者的优良率为93.33%，观察组明显优于对照组，差异有统计学意义（P0.05）。结论：老年性股骨粗隆间粉碎性骨折运用股骨近端锁定钢板内固定治疗的临床效果显著，具有操作简便，固定可靠，手术创伤小，引起的并发症少，骨折愈合率高等多个优点，是临床理想的内固定治疗方法。 　　【关键词】 股骨近端； 锁定钢板； 老年性股骨粗隆； 粉碎性骨折； 临床研究 　　中图分类号 R687.3 文献标识码 A 文章编号 1674-6805（2015）23-0014-03 　　Clinical Studies on the Treatment of Age-related Intertrochanteric Femoral Fractures by Locking Proximal Femoral Plate/LI Heng.//Chinese and Foreign Medical Research，2015，13（23）：14-16 　　【Abstract】 Objective： To study the use of senile patients with interchangeable femoral fractures proximate femoral locking plate fixation of clinical effect. Method： The hospital choose between January 2011 - January 2014 180 cases of interchangeable fractures in elderly patients with diagnosis and treatment， will be divided among 90 cases of senile interchangeable two groups， com minuted for patients with fracture fixation within DHS， 90 patients in the observation group implementing proximate femoral locking plate fixation， clinical outcomes between the two groups of patients. Result： In this paper， the selected patients had no nerve and blood vessel injury， infection of incision. Patients in the observation group of 3 cases suffered hip var us deformity， no broken nails. Patients in the control group there were 24 cases of coax sara occurred in 9 cases of acute， screw breakage phenomenon. Postoperative limb function according to the Harris score standard： control the rate of excellent and good were 73.33%， observe the excellent rate were 93.33%， the observation group was significantly better than the control group， the differences between the two groups were significant， with statistical significance （P0.05）.Conclusion：Senile intercha