摘要
目的探讨分析解剖型锁定钢板内固定治疗骨质疏松SinghⅠ、Ⅱ度股骨粗隆间骨折的临床疗效。方法对47例老年骨质疏松性股骨粗隆间骨折均在C型臂X线机透视下闭合复位后采用解剖型锁定钢板内固定治疗,统计手术时间、术中出血量以及骨折愈合时间,并对术后髋关节进行Harris评分。结果 45例得到随访,2例失访,随访时间6～20个月,平均15.3个月。手术时间45～72 min,平均53.2 min;术中出血量180～250 ml,平均210 ml;骨折愈合时间20～32周,平均26.5周。术后髋关节Harris评分:优24例,良17例,可3例,差1例,优良率为91.1%。均未出现感染、髋内翻、下肢短缩、股骨干骨折以及内固定失效等并发症。结论解剖型锁定钢板内固定治疗严重骨质疏松SinghⅠ、Ⅱ度股骨粗隆间骨折具有内固定牢靠,可早期进行功能锻炼等优点,符合生物学固定原则。
Objective To investigate the clinical effect of LCP fixation for treatment of the femoral intertrochanteric fracture with Singh＇s classification I, II. Methods Forty-seven elderly patients with femoral intertrochantefic fracture were treated by LCP f＇Lxation from Jan- uary 2009 to October 2010. Operation time, intraoperative blood loss, healed time and evaluation of the operated hip joint were analyzed by Harris. Results Forty-five patients were followed-up and two were missed. The patients were followed up for 15.3 months （6-20 months） on average. The average operation time was 53.2 min（45-72 min）, the average intraoperative blood loss was 210 ml（180-250 ml）, and the average fracture healed time was 26.5 weeks（20-32 weeks）. The postoperative Harris score was excellent in 24 cases, good in 17 cases, fair in 3 cases, and poor in 1 case. The total excellent and good rate was 91.1%. No infection, coax vara, shortening deformity, fracture of femoral shaft or internal fixation failure occurred. Conclusion Since the osteoperotic femoral intertrochanteric fracture with Singh^s classification I, II by,LCP fixation has advantages of stable fixation and the excellent clinical results, it is an effective treatment for femoral intertrochanteric fractures in Singh＇s classification I, II patients.
出处
《中国骨与关节损伤杂志》
2011年第10期881-883,共3页
Chinese Journal of Bone and Joint Injury
基金
浙江省宁波市科技局社会发展科研项目(2009C50013)
