摘要
目的探讨解剖型髋动力带锁钢板（anatomical dynamic hip lock plate，ADHLP）治疗股骨转子间骨折的临床效果。方法 开展ADHLP的设计与临床研究工作，包括临床应用73例，其中男52例，女21例；年龄19～92岁，平均54．7岁。致伤原因：交通伤32例，摔伤21例，高处坠落伤9例，其他11例。骨折按照Evans分型：EvansⅠ型42例，Ⅱ型17例，Ⅲ型9例，Ⅳ型5例。应用自行设计的ADHLP系统治疗，对于不同的类型采取不同的手术策略，观察疗效和分析结果，最后对ADHLP进行评价。结果手术时间40～90min，平均60rain，术中出血100～400ml，平均200ml。全部患者经6～48个月随访，平均36个月，关节功能恢复满意，优良率99％。无髋内翻、股骨头切割、旋转移位、医源性骨折、感染、内固定断裂、松动等并发症。结论ADHLP治疗股骨转子间骨折生物力学更合理，手术适应证广泛，操作简便，创伤小，恢复快，固定有效牢靠，并发症少，尤其适用于骨质疏松或老年患者。
Objective To discuss clinical results of self-made anatomical dynamic hip lock plate （ADHLP） in treatment of intertrochanteric fractures. Methods ADHLP was applied in 73 patients including 52 males and 21 females at age range of 19-92 years （mean 54.7 years）. Fractures were caused by traffic accidents in 32 patients, slip in 21, fall from height in nine and other factors in ll. According to the Evans＇ s classification system, there were 42 patients with type Ⅰ fractures, 17 with type Ⅱ , nine with type Ⅲ and five with type Ⅳ. Self-made ADHLP was applied to manage various fractures with different operation strategies. The curative effect of ADHLP was observed for evaluation of ADHLP. Results The operation lasted for mean 60 minutes （40-90 minutes）. The volume of blood loss was mean 200 ml （100-400 ml）. All patients were followed up for 6-48 months （average 36 months）, which showed that the function of hips was satisfactory, with excellence rate of 99%. There were no complications like coxa vara, femoral head concis, rotation displacement, iatrogenic fracture, infection or internal fixation break and loosening. Conclusions ADHLP takes advantages of reasonable vitodynamics, wide operation indications, convenient operation, minor trauma, fast recovery, stable fixation and few complications for intertrochanteric fractures, especially osteoporotic and gerontal patients.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2009年第1期61-65,共5页
Chinese Journal of Trauma
关键词
股骨骨折
髋骨折
解剖型髋动力带锁钢板
Femoral fractures
Hip fractures
Anatomical dynamic hip lock plate
