摘要
目的探讨股骨近端锁定钢板内固定术治疗老年股骨粗隆部骨折的手术方法和临床疗效。方法应用股骨近端锁定钢板治疗老年股骨粗隆部骨折35例,年龄60～85岁,平均65.6岁。骨折类型:股骨颈基底部骨折4例;股骨粗隆间骨折25例,按Evans’s标准分型:I型4例,II型5例,III型12例,IV型4例;股骨粗隆下骨折6例。术中正规微创手术操作,术后正确的康复训练,积极抗骨质疏松治疗。结果术后随访时间6～24个月,平均10个月。疗效评定,术后6个月患髋Harris评分:优20例,良13例,中2例,差0例,优良率为94.3%。术后所有患者获得骨性愈合,愈合时间为3～10个月(平均4.5个月)。结论应用股骨近端锁定解剖钢板治疗老年股骨粗隆部骨折是一种较好的手术方法,疗效满意,可以有效提高老年患者术后的生活质量。
Objective To evaluate the curative effect and operation method of proximal femoral anatomic lockling plate on senile trochan- teric fracture of femur by internal fixation. Methods 35 senile trochanteric fracture of femur were treated with proximal femoral anatomic lock- ling plate by internal fixation from January 2008 to February 2011. All patients were from 60 years old to 85years old, average 65.6 years old. Fracture type ： base of neck fractures of femur 4 cases ;intertrochanteric fractures of femur 25 cases, according to Evans＇ s type ： type I 4 cases, type II 5 cases, type III 12 cases, type IV 4 cases ; subtrochanteric fractures of femur 6 cases. All cases were accepted by regularity operative pro- cedure, correct rehabilitation training and therapy of osteoporosis after operation. Results All cases were followed up for 6 to 24 months （ average 10 months） , and the results showing 20 cases were excellent, 13 cases were the better,2 cases were the poor, by harris＇ s criterion in postopera- tive 6 months. All cases had recovered with healing in 3 to 10 months（ averge 4.5 months）. Conclusion The application of proximal femoral anatomic lockling plate in the treatment of senile trochanteric fracture of femur is a good surgical techniques, can effectively improve the postop- erative quality of life in senile patients.
出处
《河南外科学杂志》
2012年第2期13-15,共3页
Henan Journal of Surgery
关键词
老年
股骨粗隆部骨折
股骨近端锁定解剖钢板
康复训练
Senile
Trochanteric fracture of femur
Proximal femoral anatomic lockling plate
Rehabilitation training
