股骨髁上骨牵引术与股骨近端锁定钢板治疗老年股骨转子间骨折临床疗效的比较  

The Bone Traction on the Femoral Condyle and the Proximal Femur Locking Plate for Treatment of Senile Intertrochanteric Fracture Comparison of the Clinical Efficacy

作　　者：赵修江 刘江涛 王泽云 龚化阳 

机构地区：[1]湖北老河口市中医院,湖北老河口441800 [2]襄阳市第一人民医院,湖北襄阳441000

出　　处：《医学信息》2012年第11期76-77,共2页Journal of Medical Information

摘　　要：目的探讨股骨髁上骨牵引术与股骨近端锁定钢板内固定在老年股骨转子间骨折中应用的临床疗效比较。方法对我院骨伤科2010年1月～2012年7月间78例股骨转子间骨折患者分别采用股骨髁上骨牵引术与股骨近端锁定钢板内固定治疗，根据术后随访时的骨折愈合情况、有无并发症、髋关节功能等因素进行分析，评价治疗效果。结果对78例患者进行随访，随访时间3-24月，平均18月。根据髋关节Harris功能评分标准进行评分．股骨髁上骨牵引组：优6例，良3例，可2例，差8例，死亡5例，优良率47．37％。股骨近端锁定钢板内固定组：优44例，良6例．可5例，差3例，死亡1例，优良率86.2％。结论股骨近端锁定钢板内固定相对于股骨髁上骨牵引术来说，在治疗老年股骨转子间骨折中具有并发症少，髋关节功能好，死亡率低等优点。Objective Exploring the bone traction on the femoral condyles and the proximal femur clinical comparison of locking plate fixation in elderly intertrochantcric fractures applications.Methods Orthopedic our hospital from January 2010 to July 2012, 78 eases of intertrochanteric fracture patients were used on the femoral condyle bone traction with the proximal femur locking plate fixation, Fracture healing in the postoperative follow- up, complieations, hip function analysis, evaluate the therapeutic effect. Results 78 patients were followed up for 1-24 months, an average of 18 months, according to the Harris hip sco^e, The femoral condyle previous skeletal traction group： 6 cases, good in 3 eases, 2 cases, and poor in 3 cases, good rate of 47.39%. Proximal femoral locking plate fixation group： Excellent in 44 cases, good in 6 cases, 5 cases, and poor in 3 cases, good rate of 86.2% .Conclusions Proximal femoral locking plate fixation relative to the femoral condyle bone traction, with fewer complications in the treatment of senile intertrechanterie fracture, hip function, the mortality rate is low.

关 键 词：股骨转子间骨折 骨折内固定术 锁定钢板 

分 类 号：R683.42[医药卫生—骨科学]