解剖型髋动力带锁钢板治疗老年股骨粗隆间骨折  

Clinical effect of anatomical dynamic hip lock plate, on treatment of intertrochanteric fractures in the elderly

作　　者：林镇荣 吴盛荣 

机构地区：[1]广东汕头潮南民生医院骨科,广东汕头515144

出　　处：《岭南现代临床外科》2014年第4期452-455,共4页Lingnan Modern Clinics in Surgery

基　　金：汕头市科技计划项目(2011D-0983)

摘　　要：目的 探讨解剖型髋动力带锁钢板治疗老年股骨粗隆间骨折的疗效.方法 我院2010年2月～2012年9月收治的124例股骨粗隆间骨折老年患者作为研究对象,其中70例使用解剖型髋动力带锁钢板进行治疗（A组）,54例使用动力髋螺钉固定进行治疗（B组）,比较两组患者骨折愈合率、愈合时间、手术治疗优良率及术后并发症情况.结果 A组骨折愈合率为98.57％,略高于B组,但差异不具有统计学意义（P＞0.05）;A组骨折愈合时间短于B组、手术治疗优良率高于B组、术后并发症情况少于B组,差异具有统计学意义（P＜0.01）.结论 解剖型髋动力带锁钢板能有效治疗老年股骨粗隆间骨折,并且骨折愈合率、手术治疗优良率均高于动力髋螺钉固定治疗法.Objective To investigate the efficacy of using the anatomical dynamic hip lock plate （ADHLP） to treat the intertrochanteric fractures. Methods From February 2010 to September 2012, 124 elderly patients with intertrochanteric fractures were enrolled. Among them, 70 patients were performed the treatment of ADHLP （group A）, 54 cases underwent dynamic hip screw fixation （group B）. The rate of fracture healing, healing time, excellent rate of surgical treatment and postoperative complications between two groups were compared and statistically analyzed. Results The healing rate in group A was 98.57%, which was slightly higher than the group B, but the difference was not statistically significant（P〉0.05）. Healing time in group A was shorter than in the group B, and the excellent rate of group A was higher than that of the group B （P〈0.01）. Conclusion The ADHLP is effective in treating elderly intertrochanteric fractures, and the healing rate, excellent rate of which were higher than the dynamic hip screw fixation method.

关 键 词：解剖型髋动力带锁钢板 空心锁定螺钉 股骨粗隆间骨折 

分 类 号：R683.4[医药卫生—骨科学]