空心加压纹钉结合股骨近端解剖型锁定钢板治疗老年股骨转子间骨折.docVIP

空心加压螺纹钉结合股骨近端解剖型锁定钢板治疗老年股骨转子间骨折 　　【摘要】 目的 探讨应用空心加压螺纹钉结合股骨近端解剖型锁定钢板治疗老年股骨转子间骨折的疗效。方法 对19例老年股骨转子间骨折行空心加压螺纹钉结合股骨近端解剖型锁定钢板治疗患者进行术中观察及术后随访。结果 手术时间40～95 min， 术中失血量203～256 ml， 所有患者切口均Ⅰ期愈合， 下肢静脉血栓2例， 经保守治疗痊愈。19例均获得随访， 时间6～18个月， 骨折愈合时间16～24周。19例患者骨折均愈合， 均无钢板、螺钉松动、断裂及退钉现象， 无明显患髋部不适表现， 髋关节活动良好， 无伤口感染。所有患者均在术后6个月按照Sander标准评分：优16例， 良2例， 差1例， 优良率94.7%。结论 空心加压螺纹钉结合股骨近端解剖型锁定钢板治疗老年股骨转子间骨折的设计合理， 术中操作简单， 术后固定牢靠， 并且利于骨折的愈合， 能有效减少并发症的发生， 值得基层医院推广应用。 中国论文网 /6/viewhtm 　　【关键词】 股骨转子间骨折；老年；空心加压螺纹钉；解剖型锁定钢板 　　DOI：10.14163/j.cnki.11-5547/r.2016.05.007 　　Hollow compressive screw combined with proximal femoral anatomic locking plate in the treatment of senile intertrochanteric fracture YAO Bao-ping， LI Min， LIU Hong-xian， et al. Gansu Chengxian County People’s Hospital， Longnan 742500， China 　　【Abstract】 Objective To investigate curative effect by hollow compressive screw combined with proximal femoral anatomic locking plate in the treatment of senile intertrochanteric fracture. Methods Intraoperative observation and postoperative follow-up were taken in 19 senile intertrochanteric fracture patients who received hollow compressive screw combined with proximal femoral anatomic locking plate. Results Operation time was 40～95 min， and intraoperative bleeding volume as 203～256 ml. All cases had stage Ⅰhealing， and there were 2 cases cured by conservative treatment for lower limb vein thrombosis. All the 19 cases received follow-up for 6～18 months， which showed their fracture healing time as 16～24 weeks. All the 19 cases healed without loosen and fractured screw or plate， discomfort in hip， or incision infection， and with good hip joint activity. Sander standard score in 6 months after operation showed 16 excellent cases， 2 good cases， and 1 poor case， with the good rate as 94.7%. Conclusion Combination of hollow compressive screw and proximal femoral anatomic locking plate in treating senile intertrochanteric fracture is rational， easy operating with firm fixation after operation. Thi