股骨近端解剖型锁定钢板治疗股骨干骨折合并同侧股骨颈骨折  

Proximal femoral anatomical locking plate for treatment of ipsilateral femoral shaft and neck frac- tures

作　　者：董有海[1] 杨文成[1] 钱光[1] 王军[1] 陈绪君[1] 何益群[1] 

机构地区：[1]复旦大学附属上海市第五人民医院骨科,上海200240

出　　处：《中华创伤杂志》2012年第2期128-131,共4页Chinese Journal of Trauma

摘　　要：目的 探讨股骨近端解剖型锁定钢板治疗股骨干骨折合并同侧股骨颈骨折的临床疗效. 方法 回顾性分析2009年2月-2011年2月资料完整的10例股骨干骨折合并同侧股骨颈骨折的患者,采用切开复位股骨近端解剖型锁定钢板内固定治疗,术后定期X线及临床效果随访,采用Friedman - Vyman系统对治疗效果进行评价. 结果 术后随访6～24个月,平均16个月,股骨颈骨折于术后2.5 ～4个月骨折愈合,平均3个月；股骨干骨折于术后4～9个月愈合,平均6个月.采用Friedman - Vyman系统评价结果：优0例,良8例,一般2例,差0例,优良率80％,未见股骨头坏死或内固定失效等并发症. 结论 股骨近端解剖型锁定钢板是治疗股骨干骨折合并同侧股骨颈骨折的可选方案且可以获得满意的临床效果.Objective To study the clinical effect of the proximal femoral anatomical locking plate in the treatment of ipsilateral femoral shaft and neck fractures. Methods A retrospective study was done on 10 patients with ipsilateral femoral shaft and neck fractures treated with proximal femoral anatomical locking plate in our hospital from February 2009 to February 2011.After treatment,the outcome was assessed regularly by fracture union as was seen on serial radiographs and clinical function was estimated by Friedman and Vyman System. Results All patients were followed up for 6-24 months （ average 16 months）.All the fractures were healed within 2.5-4 months （average 3 months） in the femoral shaft and within 4-9 months （average 6 months） in the neck,respectively.According to Friedman and Vyman System,the overall clinical result was good in eight patients and fair in two,with excellent rate of 80% （8/10）.No osteonecrosis of the femoral head and fixation failure were observed during the followup. Conclusion Proximal femoral anatomical locking plate internal fixation is an effective treatment method for ipsilateral femoral shaft and neck fractures.

关 键 词：股骨骨折 股骨颈骨折 股骨近端解剖锁定钢板 

分 类 号：R687.3[医药卫生—骨科学]