微创经皮LCP接骨术治疗老年股骨近端粉碎骨折  

Minimally Invasive Percutaneous Locking Compression Plate Osteosynthes for the Treatment of Comminuted Fracture of the Proximal Femur in the Elderly

作　　者：郭明君[1] 胡运生[1] 赵海恩[1] 郑联合[1] 张勇[1] 马保安[1] 

机构地区：[1]第四军医大学唐都医院骨科中心,陕西西安710038

出　　处：《现代生物医学进展》2012年第6期1081-1083,共3页Progress in Modern Biomedicine

摘　　要：目的:本研究通过观察微创锁定钢板接骨术治疗老年股骨近端粉碎骨折临床效果,旨在找出最佳治疗方式。方法:自2007年12月～2010年03月,应用股骨近端锁定加压钢板治疗老年股骨近端粉碎骨折23例。记录术中出血量、手术时间,术后并发症、骨折愈合时间及最后一次随访时功能恢复情况。结果:骨折临床愈合时间为12～28周,平均16周。除1例患者髋内翻畸形,1例锁定加压钢板断裂外,其他患者均达到骨性愈合。结论:股骨近端锁定钢板具有创伤小、固定可靠、骨折愈合快、功能恢复满意的特点,尤其适用于老年股骨近端粉碎骨折。Objective： The purpose of this study was to clarify the efficacy of minimally invasive plate osteosynthesis（MIPO） with locking compression plate in the treatment of proximal femoral comminuted fractures.aimed at finding the best treatment.Methods： Be-tween December 2007 and March 2010,the application of proximal femur locking compression plate fixation of comminuted fractures of the proximal femur in 23 cases.Records of blood loss,operative time,postoperative complications,fracture healing time and the last fol-low-up,functional recovery.Results： Fracture healing time was 12-28 weeks,an average of 16 weeks.Except for 1 patient hip varus,1 patient implant rupture,other patients reached the bone healing.Conclusion： The proximal femoral locking plate with less trauma,reli-able fixation,fracture healing and functional recovery characteristics of satisfaction,especially for comminuted fracture of the proximal femur in the elderly.

关 键 词：股骨近端粉碎骨折 股骨近端锁定钢板 微创经皮锁定加压钢板接骨术 

分 类 号：R683.4[医药卫生—骨科学]