摘要
目的探讨伴随大粗隆侧冠状骨折的粗隆间骨折的治疗方法。方法应用塑型钢板螺钉治疗大粗隆侧骨皮质损伤较为严重的粗隆间骨折,尤其外侧皮质骨纵向劈裂的骨折(冠状面骨折)共23例,15例随访6～19个月。结果获随访的15例中均已骨性愈合,14例已取出内固定。参照Katlstrom和Olerud评定标准,优13例,良2例。结论塑型钢板力学结构合理,利用钢板上螺钉孔的错位空间结构,可使螺钉避开外侧的纵向骨折线,固定相对牢固。笔者认为该方法可用于治疗粗隆间粉碎性骨折,尤其适用于大粗隆侧骨皮质纵向劈裂(冠状面骨折)的骨折。
Objective To discuss the treatment of intertrochanteric fractures accompanying great troc-hanter coronal position fracture. Methods Authors had treated greater trochanter severe injuries in intertrochanteric fractures, among which some fractures appeared as lateral cortex longitudinal split(coronal position fracture),with modified plate and screws in 23 cases.The 15 of 23 cases had been followed up for 6-19 months. Results The plates and screws for internal fixation have been removed in 14 cases of 15 ones. Refering to Katlstrom and Olerud Grading Standard, the excellent were in 13 cases and good in 2. Conclusion The modified plate has a rationally mechanical composition. This composition could prevent screws from lateral longitudinal fracture line by means of stagger points structure of hole in the plate, which could received a rigid fixation. This method could be applied easily and did not require peculiar instrument. Authoros think the method could be used for intertrochanteric fracture, especially for some fractures that lateral cortex longitudinal split(coronal position fracture).
出处
《实用医药杂志》
2005年第7期590-592,共3页
Practical Journal of Medicine & Pharmacy
关键词
塑型钢板
粗隆间骨折
冠状面骨折
Modified plate Intertrochanteric fracture Coronal position fracture
