L-梯形加压钢板治疗股骨转子间骨折  

Treatment of Intertrochanteric Fractures of the Femur with L- Trapezoid Compression Plate

作　　者：徐莘香[1] 宁淑岩[1] 刘建国[1] 秦大明[1] 

机构地区：[1]白求恩医科大学第一临床学院骨科

出　　处：《中华骨科杂志》1998年第6期360-362,共3页Chinese Journal of Orthopaedics

摘　　要：目的：采用内固定治疗不稳定性股骨转子间骨折（ＩＴＦＦ）仍存在一些问题，为此作者设计了系列Ｌ－梯形加压钢板（Ｌ－ＴＣＰ）。方法：从１９８６年６月～１９９６年６月，７２例股骨转子间骨折患者采用作者设计的Ｌ－梯形加压钢板治疗，平均年龄为６８．５岁（２９～９１岁），其中６５例为不稳定性骨折。５８例采用切开复位，Ｌ－ＴＣＰ固定，１４例采用Ｘ线监视下闭合复位，有限切开Ｌ－ＴＣＰ固定。结果：６０例随访６～６９个月。其中３例并发伤口感染，１例骨不连，３例髋内翻，２例钢板断裂，共６例９个并发症，均发生在切开复位组。结论：采用闭合复位，有限切开内固定损伤小，稳定性好。Objective: To compare the results of two different methods for treatment of intertrochanteric fractures of the femur (ITFF) with L- trapezoid compression plate (L- TCP). Methods: From June 1986 to June 1996, 72 cases of ITFF were treated with L- TCP fixation. The average age of the patients was 68.5 (29- 91) years. Sixty five cases were unstable type. Fifty eight patients were treated with open reduction, and 14 were treated by closed reduction and limited open (only lateral aspect of upper femur was exposed ) fixation with L- TCP under X ray controlling. Results: Sixty patients were followed up for 6- 69 months. Complications included 3 wound infections , l non union, 3 coxa varus and 2 implant breakage (9 complications of 6 cases) occurred in open reduction group, while no complication encountered in closed reduction group. Conclusion: Closed reduction and limited open fixation with L- TCP under X ray controlling is indicated for treatment of ITFF with unstable type. It is effective for protecting the blood supply and the stability of fractures after fixation. Compare to open reduction, complications occurred much less in closed reduction group.

关 键 词：股骨骨折 骨折固定术 转子间骨折 L-梯形钢板 

分 类 号：R683.420.5[医药卫生—骨科学] R687.32[医药卫生—外科学]