Proximal femoral locking plate in the treatment of comminuted intertrochanteric fractures.docVIP

 PAGE \* MERGEFORMAT 9 Proximal femoral locking plate in the treatment of comminuted intertrochanteric fractures [Abstract] Objective To observe the locking compression plate in treatment of intertrochanteric fractures of the surgical treatment. Methods indirect reduction techniques, the use of locking compression plate in treatment of femoral fractures in 20 cases. Results All patients were followed up for 3 to 12 months, an average of 10.6 months. There were no delayed union and nonunion, infection and internal fixation failure and other complications. Conclusion locking compression plate fixation of femoral subtrochanteric fractures with injury of the small, fixed and reliable, high rate of fracture healing, etc., with good clinical value. [Keywords:] subtrochanteric fractures, locking compression plate, internal fixation Intertrochanteric fractures that occurred on the lower edge of the small rotor plane 5 cm distal fracture region, accounting for 10% of hip fracture to 34% [1]. Dynamic condylar screw (dynitic condylar screw, DCS) and the Gamma nail commonly used in the subtrochanteric fracture fixation, but the conventional surgical treatment of comminuted intertrochanteric fracture of damage large, bleeding. from January 2007 to March 2008, Orthopaedic Hospital of Wuhan City, the author eleven combined with limited open reduction and femoral proximal locking compression plate fixation of comminuted intertrochanteric fractures in 20 cases, achieve a satisfactory effect, are as follows. 1 Clinical data 1.1 General Information The group of 20 patients, 13 males and 7 females, aged 27 to 72 years, mean 47 years. Cause of injury: fall injuries in 7 cases, 6 cases of car accident injuries, falls injury in 3 cases, heavy crushing 4 cases. are closed injury. genotyping using Seinsheimer [2], A 6 cases, B 4 cases, type in 10 cases. 1.2 Treatment of patients were performed after admission tibial tubercle bone screw traction 7 ~ 10 d, weight 5 k