重建下肢力线在治疗合并膝关节骨性关节炎及骨质疏松老年股骨远端骨折中作用分析.docVIP

重建下肢力线在治疗合并膝关节骨性关节炎及骨质疏松老年股骨远端骨折中作用分析 　　DOI：10.16662/j.cnki.1674-0742.2017.25.111 　　[摘要] 目的 分析重建下肢力线应用在合并膝关节骨性关节炎及骨质疏松的老年股骨远端骨折中的效果。方法 按照入院单双号的不同将方便选取沐阳县中心医院骨科收治的40例老年股骨远端骨折合并膝关节骨性关节炎及骨质疏松患者随机分成两组（属于2013年1月―2017年1月）。A组在微创内固定系统术中重建下肢力线，B组单纯采取微创内固定系统治疗。比较两组的骨折愈合情况、不良事件发生状况及膝关节功能恢复情况。结果 A、B两组平均骨折愈合时间[A组：（3.12±0.26）个月，B组：（3.20±0.34）个月]相差不大（P0.05），两组均未出现不良事件，但A组患者术后膝关节功能恢复优良率（90.00%）明显高于B组（P0.05）。结论 在合并膝关节骨性关节炎及骨质疏松的老年股骨远端骨折手术治疗中重建下肢力线能够提高患者的膝关节功能，恢复正常行走能力，效果较为理想。 　　[关键词] 骨质疏松；膝关节骨性关节炎；股骨远端骨折；重建下肢力线 　　[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742（2017）09（a）-0111-03 　　Reconstruction of Lower Limb Line of Force in the Treatment of Knee Joint Osteoarthritis and Osteoporosis in Elderly Patients with Distal Femoral Fractures 　　SUN Cheng-liang， YAN Jun， HU Bo 　　Department of Orthopedics， Shuyang County Central Hospital， Shuyang， Jiangsu Province， 223600 China 　　[Abstract] Objective This paper tries to analyze the effect of reconstruction of lower limb line of force in the treatment of elderly patients with osteoarthritis and osteoporosis. Methods Convenient selection according to the admission number of single and double， 40 cases of elderly femoral distal fractures with knee osteoarthritis and osteoporosis patients from January 1st， 2013 to January 3rd， 2017 in this hospital were randomly divided into two groups. Group A in the minimally invasive internal fixation system reconstructed the lower limb line of force， group B simply take minimally invasive internal fixation system treatment. Fracture healing， adverse events and knee function recovery of two groups were compared. Results There was no significant difference between group A and group B in fracture healing time [group A：（3.12±0.26）months， group B：（3.20±0.34）months] （P0.05）. The adverse events hadn’t occurred in both groups. However， the excellent rate of knee function recovery was 90.00% in group A， significantly higher than that in group B （P0.05）. Conclusion Reconstruction of lower limb line in the treatment of