经皮微创锁定加压钢板内固定治疗老年股骨粗隆间骨折  

Percutanceous Minimally Invasive Locking Compression Plate Osteosynthesis for treatment of aged intertrochanteric fractures

作　　者：周经颖[1] 彭建强[1] 蔡汉周[1] 邹庆宝[1] 

机构地区：[1]广东省深圳市福田区人民医院骨科,广东深圳518033

出　　处：《航空航天医药》2009年第8期99-100,共2页Aerospace Medicine

摘　　要：目的:探讨经皮微创锁定加压钢板内固定治疗股骨粗隆间骨折的效果。方法:自2004-03～2008-04经皮微创锁定加压钢板内固定治疗股骨粗隆间骨折97例。按TronzoEvanS标准分类:一类Ⅰ型23例,Ⅱ型25例,ⅢA型18例,ⅢB型19例,Ⅳ型10例;二类2例。结果:90例获得随访,平均11个月(8～21个月)。X光片显示骨折全部一期愈合,平均愈合时间为11.4周,均无感染、骨不连、钢板松动断裂等并发症。按照黄公怡疗效评价标准,优59例,良27例,差4例,总优良率95.6%。结论:经皮微创锁定加压钢板内固定治疗股骨粗隆间骨折符合生物力学固定(BO)原则,并发症少,内固定牢靠,有利于骨折的愈合。Objective:To evaluate the preliminary outcome of surgical treatment of intertrochanteric facture with percutaneous minimally invasive locking compression plate(LCP)osteosynthesis.Methods:From March 2004 to April 2008,97 patients with intertrochanteric fracture were treated with minimally ivasive percutaneous locking compression plate(LCP)osteosynthesis.According to TronzoEvanS classification,twenty-three patients belonged to type I-I,twenty-five type I-II,eighteen type I-IIIA,nineteen type I-IIIB,ten type I-IV ;and two patients belonged to type II.Results:Ninety patients were followed up for 8 to 21 months,with an average time of 11 months.The X-ray pictures showed that one-stage union was achieved in the patients,with a mean healing time of 13 weeks.No complications such as infection,non-union,loosening of nails were found.The clinical outcomes were evaluated according to Huang Gongyi healing efficacy evaluate standard.Fifty-nine were rated as excellent,twenty-seven as good and four as poor,with the good-excellent rate being 95.6%.Conclusions:Percutaneous minimally invasive locking compression plate osteosynthesis is a kind of biological osteosynthesis(BO),less complication,ensuring a good fixation in treatment of intertrochanteric fracture with an advantage of accelerating bone healing.

关 键 词：经皮 微创 锁定加压钢板 接骨术 股骨粗隆间 骨折 

分 类 号：R683.42[医药卫生—骨科学]