倒置LISS钢板结合钢缆内固定治疗股骨粗隆下SeinsheimerⅤ型骨折  

Treatment of Seinsheimer type Ⅴ subtrochanteric femoral fractures with inversive LISS plate combined with steel wire

作　　者：宋肖舟[1] 陈位[1] 郑杰[1] 

机构地区：[1]舟山市人民医院骨科,浙江舟山316000

出　　处：《中国骨伤》2014年第8期697-699,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的：探讨倒置LISS （less invasive stabilization system,LISS）钢板结合钢缆内固定治疗股骨粗隆下SeinsheimerV型骨折的临床疗效.方法：2009年1月至2012年1月收治11例股骨粗隆下粉碎性骨折患者,其中男8例,女3例;年龄35～61岁,平均51岁.受伤原因：车祸伤8例,高处坠落伤3例.经X线证实为Seinsheimer Ⅴ型股骨粗隆下骨折,采用LISS钢板结合钢缆进行治疗,并按Merle d＇Aubigne髋关节功能评分系统对患侧髋关节的治疗效果进行评分.结果：11例均获随访,时间12～28个月,平均16个月.全部病例获得骨性愈合,平均愈合时间3.8个月（3～4.3个月）.未发生深部感染、下肢深静脉血栓、肺栓塞、骨不连等并发症.按d＇ Aubigne髋关节功能评分系统评分,优7例,良4例.结论：倒置LISS钢板结合钢缆内固定治疗股骨粗隆下Seinsheimer Ⅴ型骨折疗效满意,可为骨折端提供稳定的固定,为治疗该骨折提供了一种理想的内固定选择方式.Objective：To study clinical effects of inversive LISS （less invasive stabilization system,LISS）plate combined with steel wire for the treatment of Seinsheimer type Ⅴ subtrochanteric femoral fractures.Methods：From January 2009 to Janurary 2012,11 patients with Seinsheimer type Ⅴ subtrochanteric femoral fractures were treated with inversive LISS plate combined with steel wire,including 8 males and 3 females,ranging in age from 35 to 61 years old （averaged,51 years old）.Causes of injury：8 patients caused by accident and 3 patients caused by falling down.According to X-ray examination,all the patients were type Ⅴ subtrochanteric femoral fractures and were treated with LISS plate combined with steel wire.Merle d＇ Aubigne scores were used to evaluate therapeutic effects on hip.Results：The mean period of follow-up was 16 months （ranged,12 to 28 months）.All the patients obtained bone union for average 3.8 months （ranged from 3 to 4.3 months）.There were no complications such as deep infection,deep vein thrombosis,pulmonary embolism and bone nonunion.According to Merle d＇Aubigne scores,7 patients got an excellent result and 4 good.Conclusion：Inversive LISS plate combined with steel wire for the treatment of Seinsheimer type Ⅴ subtrochanteric femoral fractures is satisfactory,which can provide stable fixation for fracture end and provide an ideal internal fixation method for treatment of this kind of fractures in the future.

关 键 词：股骨骨折 骨折固定术 内 髋关节 

分 类 号：R683.42[医药卫生—骨科学]