股骨粗隆间骨折PCCP内固定手术相关因素分析  

Analysis of related factors in treatment of femoral intertrochanteric fractures by PCCP

作　　者：胡一平[1] 朱建平[1] 蔡福金[1] 李宏[1] 孙子杰[1] 

机构地区：[1]解放军第101医院骨科,江苏无锡214044

出　　处：《中国骨与关节损伤杂志》2014年第10期982-983,共2页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨经皮加压钢板（PCCP）在股骨粗隆间骨折中的应用,并分析手术相关因素。方法自2007-04—2009-12,应用PCCP内固定治疗165例股骨粗隆间骨折。术中采用闭合复位、小切口置入钢板。结果本组手术时间平均55（40-90）min,术中失血量平均87（50-180）ml。术后出现4例切口血肿,但未出现感染。术后163例获随访36-60个月,骨折愈合时间平均6个月。5例出现5°左右的髋内翻畸形,3例股骨干螺钉退钉,但未影响骨折愈合。结论 PCCP系统设计独特,可以保护骨折部位血液供应,固定可靠,能促进骨折愈合及功能恢复,是治疗股骨粗隆间骨折的理想选择。Objective To explore the principles of a surgical technique of percutaneous compression plate（PCCP） for femoral intertrochanteric fractures and to analyze the related factors during the operation. Methods From April 2007 to December 2009, 165 patients were treated with PCCP. Through a minimally invasive after closed reduction, the PCCP plates were inserted beneath periosteum. Results The mean operation time was 55 min（range 40 to 90 min）, and the mean perioperative blood loss was 87 ml（range 50 to 180 ml）. There were 4 minor wound hematomas and no soft tissue infection. One hundred and sixty three patients were followed up for 36 to 60 months. The mean fracture healing time was 6 months. Five fractures with a varus deformity of 5 degrees and 3 fractures had minor screw pullout that did not affect the fracture heding.Conclusion The unique designed PCCP has the advantages of protecting the blood supply of bone fragments and the periosteum, optimizing bone union function recovery. PCCP is an ideal choice for the treatment of intertrochanteric hip fractures.

关 键 词：股骨粗隆间骨折 经皮加压钢板 小切口 内固定 

分 类 号：R687.3[医药卫生—骨科学]