改良股骨近端锁定板内固定治疗股骨粗隆间合并粗隆下骨折疗效观察.docVIP

改良股骨近端锁定板内固定治疗股骨粗隆间合并粗隆下骨折疗效观察 　　【摘要】 目的：探讨改良股骨近端锁定板内固定治疗股骨粗隆间合并粗隆下骨折的疗效观察。方法：回顾性分析本院2009年1月-2015年5月治疗的18例股骨粗隆间合并粗隆下骨折患者的临床资料，所有患者均采用改良股骨近端锁定板内固定进行治疗，观察其治疗效果。结果：本组手术时间80～120 min，术中出血400～800 mL，平均510 mL。所有患者切口Ⅰ期愈合，随访6～18个月，平均14个月骨折愈合。本次随访髋关节术后功能恢复根据Harris评分标准，评定优10例，良4例，可4例，优良率为77.8%。结论：改良股骨近端锁定板内固定治疗股骨粗隆间合并粗隆下骨折临床效果可靠，骨折解剖复位，内固定牢固，骨折愈合率高，并发症少，值得临床推广应用。 　　【关键词】 改良股骨近端锁定板； 股骨粗隆间合并粗隆下骨折； 内固定 　　Curative Effect Observation of the Modified Proximal Femoral Locking Plate Internal Fixation in the Treatment of Intertrochanteric Combined Subtrochanteric Fracture/DONG Bi-cheng，LI Chao-jun，YIN Dong-wu，et al.//Medical Innovation of China，2015，12（29）：139-142 　　【Abstract】 Objective：To investigate the curative effect observation of the modified proximal femoral locking plate internal fixation in the treatment of intertrochanteric combined subtrochanteric fracture.Method：The clinical data of 18 patients with intertrochanteric combined subtrochanteric fracture in our hospital from January 2009 to May 2015 were retrospectively analyzed.They were treated with the modified proximal femoral locking plate internal fixation，and the treatment effect was observed.Result：The operation time of the group was 80-120 min，the intraoperative bleeding was 400-800 mL，the average was 510 mL.All patients were healed by first intention，during a mean 14（6 to 18 months） months following-up，the fracture were healed.The postoperative functional recovery of hip joint in the follow-up according to Harris score standard，excellent in 10 cases，good in 4 cases，fair in 4 cases，the excellent and good rate was 77.8%.Conclusion：The clinical effect of the modified proximal femoral locking plate internal fixation in the treatment of intertrochanteric combined subtrochanteric fracture is reliable，fracture anatomical reduction，stable internal fixation，high fracture healing rate and less complications，is worthy of clinical popularization and application. 　　【Key words】 Modified proximal femoral locking plate； Intertr