摘要
目的比较锁定加压钢板(LCP)与动力髋螺钉(DHS)内固定治疗中老年不稳定股骨粗隆部骨折的疗效,探讨内固定选择的策略。方法将84例中老年不稳定股骨粗隆间骨折随机分为治疗组(LCP内固定,45例)和对照组(DHS内固定,39例),观察2组手术时间、出血量以及术后髋关节功能Harris评分和并发症发生情况。结果所有患者均获得平均(1.40±0.35)年随访。治疗组手术时间和出血量与对照组相比差异无统计学意义(P>0.05)。末次随访时治疗组髋关节功能Harris评分优良率为88.9%,对照组为82.1%,治疗组优良率高于对照组,差异有统计学意义(P<0.05)。对照组髋内翻、内固定失败和骨不连发生率高于治疗组,差异均有统计学意义(P<0.05)。结论 LCP和DHS均可用于治疗中老年不稳定股骨粗隆间骨折,但LCP内固定具有较好的治疗效果和较低的并发症发生率。
Objective To investigate the selective strategy of the internal fixation methods for the treatment of unstable femoral intertroehanteric fracture in middle-aged and elderly by comparing locking compression plate （LCP） with dynamic hip screw（DHS）. Methods A total of 84 cases were divided into treatment group（internal fixation with LCP, 45 cases） and control group （internal fixation with DHS, 39 cases）. Data of the two groups in time of operation, blood loss, Harris hip score and complication were collected for statistical analysis. Results All patients were followed up for an average of （1.40±0.35） years. The differences of operation time and bleed losing between the two groups were not significant （P 〉0.05）. According to the Harris hip score, the excellent and good rate of treatment was 88.9%, and 82.1% of control group. It showed significant difference in Harris hip score and complications between the two groups（P 〈0.05）. ConclusiOn Locking compression plate has better effect and lower complications in treatment of unstable femoral intertrochanteric fi＇acture in middle-aged and elderly. Although both two types of internal fixation could be used in unstable femoral intertrochanteric fracture in middle- aged and eldedy, locking compression plate is the better choice.
出处
《中国骨与关节损伤杂志》
2014年第2期126-128,共3页
Chinese Journal of Bone and Joint Injury
基金
卫生公益性行业科研专项经费项目(201002014)
关键词
股骨粗隆间骨折
中老年
不稳定
锁定加压钢板
动力髋螺钉
Femoral intertrochanteric fracture
Middle-aged and elderly
Unstable
Locking compression plate
Dynamic hipscrew
