微创锁定加压钢板治疗高龄股骨转子间骨折  

Minimally invasive treatment of intertrochanteric fractures with locking compression plate in the elderly

作　　者：孙建峰[1] 李治斌[1] 申杨勇[1] 韩斌[1] 邓磊[1] 顾敏琪[1] 

机构地区：[1]中国中医科学院西苑医院骨科,北京100091

出　　处：《中国骨伤》2010年第5期337-339,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨微创锁定加压钢板(locking compression plate,LCP)治疗高龄股骨转子间骨折的疗效。方法:2007年8月至2009年1月微创LCP内固定治疗高龄股骨转子间骨折28例,男13例,女15例;年龄70～102岁,平均78.6岁。受伤到手术时间3～8d,平均4.5d。结果:手术时间40～90min,平均55min;术中出血50～150ml,平均70ml。住院期间死亡1例。25例获得随访,时间6个月～2年,平均15个月。骨折愈合时间10～12周,平均10.4周。按照黄公怡等的评价标准:优20例,良4例,差1例。结论:微创LCP内固定治疗高龄股骨转子间骨折具有方法简单、固定稳定、出血少等优点,是值得提倡的一种手术方法。Objective：To study the effect of minimally invasive treatment with the locking compression plate（LCP） in the treatment of intertrochanteric fractures in the elderly age. Methods：Twenty-eight cases of intertrochanteric fracture were retrospective studied from August 2007 to January 2009,included 13 males and 15 females with an average age of 78.6 years ranging from 70 to 102 years. All the 28 patients were treated with minimally invasive operations with locking compression plates. The time from injury to operation was ranged from 3 to 8 days（with an average of 4.5 days）. Results：The operation time was from 40 to 90 minutes（with an average of 55 minutes）; The average bleeding volume during the operation was 70 ml （from 50 to 150 ml）. One patient died during hospital stay. Twenty-five patients were followed up from 6 months to 2 years with an average of 15 months after operation. The fracture healing time was from 10 to 12 weeks（10.4 weeks in average）. According to an evaluation standard of HUANG Gong-yi,the results were excellent in 20 cases,good in 4 cases,poor in 1 case. Conclusion：Minimally invasive approaches with LCP could treat the elder intertrochanteric fractures with the advantages such as minimal invasive,stable fixation and less blood loss.

关 键 词：股骨 髋骨折 外科手术 微创性 骨折固定术 内 

分 类 号：R683.42[医药卫生—骨科学]