摘要
目的比较解剖型锁定接骨板与髋动力加压螺钉(DHS)治疗老年股骨转子间骨折的临床疗效。方法对53例老年股骨转子间骨折患者,分别采用解剖型锁定接骨板固定治疗(A组,28例)和DHS固定治疗(B组,25例),观察并对比两组的疗效及安全性。结果 53例患者均获得随访,时间5～18个月。A组骨折全部愈合,1例出现轻度髋内翻畸形。B组3例出现固定器松动,并出现不同程度髋内翻畸形。采用Kuderna评分评估髋关节功能:A组优23例,良3例,中2例,优良率为93%(26/28);B组优14例,良4例,中5例,差2例,优良率为72%(18/25)。A组患者术后骨折愈合情况以及髋关节功能恢复明显优于B组。结论解剖型锁定接骨板治疗老年股骨转子间骨折,手术操作简便,创伤小,固定更为确切牢固,骨折愈合良好,髋关节功能恢复满意,安全性高。
Objective To analyze the results of treatment of intertrochanteric fractures with the anatomic locking plate and dynamic hip screws （DHS）. Methods For all of 53 elderly patients, 28 patients were treated with ana- tomic locking plate fixation （group A） and the other （group B） were treated with DHS, and the efficiency and safety of two groups were compared. Results All of patients were followed up for 5 - 18 months. Patients of group A were healed. There was 1 case with varus malunion. There were 3 cases of group B with DHS got loosening and varus mal- union. The efficacy was assessed by Kuderna criterion ： group A was excellent in 23 cases,good in 3, and fair in 2, the excellent and good rate accounted for 93% （26/28） ; group B was excellent in 14 cases, good in 4, fair in 5, and poor in 2, the excellent and good rate accounted for 72% （ 18/25 ）. Hip fracture healing and functional recovery was significantly better in group A than group B （ P 〈 0. 05 ）. Conclusions Anatomic locking plate treatment of intertro- chanteric femoral fractures is effective, simple surgery, with less trauma, and more firmly fixation. The fracture healed well, and hip recovery is satisfactory and safe.
出处
《临床骨科杂志》
2012年第6期679-680,683,共3页
Journal of Clinical Orthopaedics
关键词
锁定接骨板
老年人
股骨转子间骨折
骨折固定术
内
anatomic locking plate
aged
intertrochanteric femoral fractures
fracture fixation, internal
