经皮加压钢板在治疗股骨转子间骨折中的应用  

Percutaneous compression plate for the treatment of intertrochanteric fractures

作　　者：陈滨[1] 程光齐[1] 冯宇[1] 张磊[1] 王涵韬[1] 

机构地区：[1]上海交通大学医学院附属仁济医院骨科,200127

出　　处：《中华创伤杂志》2010年第12期1126-1128,共3页Chinese Journal of Trauma

摘　　要：目的 探讨采用经皮加压钢板（percutaneous compression plate,PCCP）治疗股骨转子间骨折的手术疗效.方法 对2008年1月-2009年1月间行PCCP固定治疗的57例股骨转子间骨折患者进行分析,评价其手术疗效.结果 所有患者骨折均于术后11～15周内愈合.术后无一例发生伤口感染、血肿形成、内固定失败和骨折端塌陷.手术切口均为2个约2 cm皮肤切口.术后无一例患者输血.术后髋关节评分优良率达93%.结论 PCCP微创固定手术能获得与经典的动力髋螺钉（DHS）内固定手术类似的疗效,同时在损伤程度、固定理念等方面优于DHS.PCCP是目前治疗老年股骨转子间骨折的第一选择.Objective To discuss the value of percutaneous compression plate （PCCP） in treating intertrochanteric fractures. Methods A retrospective study was done on 57 patients with intertrochanteric fractures treated by PCCP from January 2008 to January 2009 to evaluate the operative effect.Results All the fractures were healed in 11-15 weeks after the operation, with no incision infection, hematoma, internal fixation failure or fracture collapse. Two surgical incisions were for 2 cm, with no blood transfusion found in any patient. According to Harris score, the postoperative excellent rate reached 92.6%. Conclusion PCCP can attain similar effect wiht DHS and now is the choice of treatment in treating intertrochanteric fracture in the elderly patients.

关 键 词：股骨骨折 骨折固定术 内 外科手术 微创性 

分 类 号：R686[医药卫生—骨科学]