锁定接骨板治疗老年股骨粗隆间骨折疗效.docxVIP

锁定接骨板治疗老年股骨粗隆间骨折疗效 【摘要】目的：探讨锁定接骨板(locking compression plate, LCP)治疗老年股骨粗隆间骨折的临床 疗效。方法：回顾性分析股骨近端锁定接骨板治疗老年股骨 粗隆间骨折28例患者的临床资料。随访6?24个月，平均 13.2个月。采用骨折A0分型分为A1型14例、A2型11例 和A3型3例。记录骨折愈合时间、并发症，并采用Harris 轆关节功能评分对髓关节功能进行评价。结果：Harris髓关 节评分：优15例，良11例，差2例，优良率92. 86%O结论: 采用锁定接骨板治疗老年股骨粗隆间骨折具有操作安全、创 伤小、并发症少、内固定可靠、效果满意等优点。 【关键词】股骨粗隆间骨折；锁定接骨板；内固定 中图分类号R683. 4文献标识码A文章编号 1674-6805 (2013) 32-0015-02 Effect of the Senile Intertrochanteric Fracture Treatment with Locking Compression Plate/TANG Ning, QIU De-gang, LIU Jia-yong, et al.// Chinese and Foreign Medical Research, 2013, 11 (32)： 15-16 [Abstract] 0bjective： To analyze the clinical values of the senile intertrochanteric fracture t rea ted with locking compression pla te (LCP) .Met hod： Twenty eight elderly patients with intertrochanterie fracture, which trea.ted with LCP, were retrospective analyzed. The follow-up period was 6?24 months and the mean follow-up period was 13. 2 months? The patients were named as Al, A2, and A3 according with the AO typing method of the bone fractures? Al, 14 cases, A2, 11 cases and A3, 3 cases. ResuIt： The Harris scores showed that： Excellent was 15 cases, good was 11 cases, and the dissatisfactory was 2 cases? The rate of fineness was 92. 86%.Conclusion： The senile intertrochanterie fracture treated with LCP embodied many merits, such as the operation safety, the little wound, the lower complications, and the reliable internal fixation, and there was better curative effect. [Key words] Int earoeha nt eric fractures； Locking compression plate； Internal Fixation Firs t-aiit hot s address： The People，s Hosp it al of Yingshang, Yingshang 236200, China 2009年1月-2012年1月，笔者应用锁定加压接骨板 （LCP）治疗老年患者股骨粗隆间骨折28例，取得较好效果, 现报道如下。 1资料与方法 1.1 一般资料 本组28例，男13例，女15例；年龄60?89岁，平均 73.9岁。骨折按AO分型：A1型14例，A2型11例，A3型3 例，合并高血压病5例，脑血管病史2例，糖尿病2例，心 功能不全1例。 1. 2手术方法 患者入院后尽快完善检查，缩短入院后到手术前的时 间，降低院内感染率，对合并有内科疾病的应请相关科室会 诊予积极治疗，在重要脏器生理功能允许情况下尽早手术。 本组28例均具有手术指征，采用连续硬膜外麻醉，取仰卧 位，常规消毒、铺巾、暴露术区，在股骨近端作股外侧直切 口，长度约8 cm,依次切开皮肤、皮下、筋膜，逐层进入， 纵劈股外侧肌，显露股