股骨近端锁定接骨板治疗股骨转子间骨折36例临床剖析.docVIP

股骨近端锁定接骨板治疗股骨转子间骨折36例临床剖析 　　摘要：目的：探讨应用股骨近端锁定接骨板治疗老年人股骨转子间骨折的临床疗效。方法：回顾性分析2008年5月~2010年5月在我院接受股骨近端锁定接骨板手术治疗的36例股骨转子间骨折患者的临床资料。结果：经手术后所有患者骨折均顺利愈合，无切口感染、退钉及髋内翻畸形发生。黄公怡疗效评定：优良率为91.7%。结论：股骨近端锁定接骨板符合内固定生物力学发展规律，通过3枚近端锁定松质骨拉力钉，将股骨头与股骨上端采用多点固定，抗旋转能力强，对股骨颈内骨质血运影响较小，骨折愈合率高，并发症少，是股骨转子间骨折患者，尤其是骨质疏松的老年患者的一种理想的手术方法。 　　关键词：股骨转子间骨折 锁定接骨板 骨折固定术 　　 　　Thighbone near-end locking will set a broken bone board treatment thighbone intertrochanteric bone fracture 36 example clinical analysis 　　Hu Yongyou 　　Abstract:Objective:The discussion sets a broken bone the board using thighbone near-end locking to treat the senior citizen thighbone intertrochanteric bone fracture the clinical curative effect.Methods:The review analysis in May,2008 ~2010 year in May accepts thighbone near-end locking in my courtyard to set a broken bone 36 example thighbone intertrochanteric bone fracture patient?s clinical material which the board surgery treats.Results:All patient bone fracture smoothly heals after the surgery,the non-margin infection,draws back in the nail and the hip turns the abnormal occurrence.Huang Gongyi curative effect evaluation:Fine rate is 91.7%.Conclusion:In thighbone near-end locking sets a broken bone the board to conform to the fixed biological mechanics law of development,through 3 near-end locking substantia spongiosa bone pulling force nail,uses the stock bone and the thighbone upper extreme the multi-spots to be fixed,anti-verticity,the ossein blood circulation influence is small to the thighbone neck in,the bone fracture recovery rate is high,the complication are few,is the thighbone intertrochanteric bone fracture patient,in particular osteoporosis old age patient?s one ideal surgery method. 　　Keywords:Thighbone intertrochanteric bone fracture Locking sets a broken bone the board Bone fracture pexia 　　【中图分类号】R45 【文献标识码】B 【文章编号】1008-1879(2010)12-0170-01 　　 　　随着人口老龄化社会的到来，人均寿命延长，股骨转子间骨折成为老年人的多发病，也是导致老年人致残及死亡率高的主要原因。不同程度的骨质疏松及跌倒是导致高龄股骨转子间骨折的最主要致伤因素［1］。因老年人保守治疗需要长期卧床容易发生危及