股骨近端锁定加压钢板(LCP)治疗儿童股骨转子下骨折的临床疗效分析-儿科学(骨科)专业论文.docxVIP

重庆 重庆医科大学硕士研究生学位论文 万方数据 万方数据 英汉缩略语名词对照 英文缩写 LCP 英文全称 Locking Compression Plate 中文全称 锁定加压钢板 TENs Titanium Elastic Nails 弹性髓内钉 BO Biological Osteosynthesis 生物学固定 LPHP Locking Proximal Humerus Plate 肱骨近端锁定接骨板 PFN Proximal Femoral Nail 股骨近端带锁髓内钉 1 股骨近端锁定加压钢板（LCP）治疗儿童股骨转子下骨 折的临床疗效分析 中文摘要 目的：探讨应用股骨近端锁定加压钢板(LCP)治疗儿童股骨转子下骨 折的临床疗效及其优缺点。 方法：回顾性分析 2010 年 6 月至 2014 年 8 月，我院采用 LCP 钢板 治疗儿童股骨转子下骨折 45 例，男 20 例，女 25 例；左侧 24 例，右 侧 21 例。其中，跌伤 11 例，车祸伤 22 例，高处坠落伤 8 例，砸伤 3 例，挤压伤 1 例，均为闭合性骨折。术后使用单髋人字支具外固定， 出院后定期门诊复查 X 片，综合评价骨折愈合及髋关节功能情况。术 后早期影像学按 Beaty 标准进行评分，髋关节功能按髋关节 Sanders 评分标准进行评分。 结果：所有患儿均获随访，随访时间 6～46 个月，平均 28.5 个月。 所有患儿均未出现伤口感染、钢板及螺钉断裂、骨不连、肢体旋转畸 形、髋内翻、股骨头坏死、再骨折等并发症。早期 Beaty 评分标准：满 意 45 例，髋关节 Sanders 评分标准优 41 例，良 3 例，可 1 例，差 0 例。 结论：采用股骨近端锁定加压钢板治疗儿童股骨转子下骨折具有固 定牢靠、治愈率高和并发症少，且符合儿童股骨近端解剖学特点，可 作为治疗儿童股骨转子下骨折的选择之一。由于随访病人数量相对较 2 少，尚缺乏远期随访，尚有待进一步观察和随访。 关键词：锁定加压钢板，股骨转子下骨折，儿童 3 THE CLINICAL APPLICATION OF LOCKING COMPRESSION PLATE IN CHILDREN FEMORAL SUBTROCHANTERIC FRACTURE ABSTRACT Objective: To investigate the clinical efficacy of the children femoral subtrochanteric fractures by using locking compression plate. Methods ： A retrospective analysis from June 2010 to August 2014, Forty-five patients with femoral subtrochanteric fractures were treated with locking compression plate in our hospital. Male 20, female 25; the left side 24, the right side 21. Including 11 patients of falls, 22 patients of traffic accident, 8 patients of falls injury, 3 patients of injured, 1 patient of crush injury, All patients were closed fractures. All patients using the single hip spica splint in postoperative fixation, with regularly review of X-rays to evaluate the healing of fracture and joint function comprehension. The Early postoperative radiographic criteria were evaluated by Beaty and the hip function by Sanders scored. Results: All patients were followed up from 6 to 46 months, 28.5 months on average. All patients had good bone heal, no major postoperative complication , such as wound infection