经皮加压钢板系统和倒置微创内固定系统置入治疗老年股骨转子间骨折的半年随访  

Treatment of intertrochanteric hip fractures using percutaneous compression plate system and reverse less invasive stabilization system:A follow-up of 6 months

作　　者：华炯[1] 黄伟杰[1] 严杰[2] 曹聪[2] 董宇启[2] 

机构地区：[1]上海市浦南医院骨科,上海市200125 [2]上海交通大学医学院附属仁济医院骨科,上海市200127

出　　处：《中国组织工程研究与临床康复》2011年第22期4032-4035,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景：近年来以股骨近端髓内钉、防旋股骨近端髓内钉为代表的髓内固定系统治疗股骨转子间骨折报道较多,但两者比较分析的研究较少。目的：探讨经皮加压钢板和倒置微创内固定两种治疗股骨转子间骨折的临床效果。方法：经皮加压钢板置入21例,倒置微创系统置入15例,年龄65~91岁。观察置入后并发症及髋关节功能Harris评分。结果与结论：全部获得随访6个月,髋关节功能经皮加压钢板组优良率87%,倒置微创内固定组87%。两组患者并发症少,没有患者发生钢板螺钉松动断裂、深静脉血栓形成、髋内翻。提示对于使用髓内固定系统有困难的老年股骨转子间骨折,用此两种微创髓外固定系统也可达到理想的治疗效果。BACKGROUND：There are many reports about the intramedullary fixation represented by proximal femoral nail and proximal femoral nail antirotation,but the comparison between these two fixation methods is rare.OBJECTIVE：To assess the clinical effect of percutaneous compression plate system（PCCP） and reverse less invasive stabilization systems（LISS） on intertrochanteric hip fractures.METHODS：Thirty-six patients with intertrochanteric hip fractures were treated with PCCP（n=21） and LISS（n=15）,with age of 65 to 91 years old and followed up after surgery.Complications and hip function（Harris score） were observed and assessed.RESULTS AND CONCLUSION：All cases were followed up for 6 months.The Harris hip function：the excellent and good rate was 87% in the group PCCP and 87% in the group LISS.None of the 17 cases suffered from the complications such as fractures or looses of the screw and plates,deep vein thrombosis and coax vara.The incidence rate was very low.The PCCP and LISS for intertrochanteric hip fractures ISan ideal internal fixation in clinic because of less blood loss,minimal invasion and better recovery of the hip functions,especially for elder patients who are not suitable for intramedullary fixation.

关 键 词：经皮加压钢板系统 倒置微创内固定系统 螺钉 股骨转子间骨折 内固定 

分 类 号：R318[医药卫生—生物医学工程]