股骨近端解剖型锁定接骨板治疗股骨转子间骨折的临床观察  

Type in the proximal femur anatomic locking plate clinical observation for the treatement of femoral fractures between rotors

作　　者：陈晓斌 陈静 李雪梅[2] 张之红 范志丽 

机构地区：[1]新乡市第四人民医院,河南新乡453000 [2]新乡市第一人民医院,河南新乡453000

出　　处：《基层医学论坛》2015年第4期455-456,共2页The Medical Forum

摘　　要：目的探讨股骨近端解剖型锁定接骨板治疗股骨转子间骨折的临床效果。方法 38例转子间骨折患者采用切开复位,应用AO研制的股骨近端解剖型锁定接骨板内固定治疗。从骨折的临床愈合时间,术后髋关节功能恢复程度,术后并发症方面分析临床疗效。结果患者均获得随访,时间6个月-24个月,术后均未出现切口感染,肺栓塞,延迟愈合,骨不连,内置物断裂,股骨头坏死,股骨干及大转子骨折,髋内翻,骨髓炎等并发症,平均骨折愈合时间3.5个月。髋关节功能评分按Harris评分标准,平均（89.0±8.7）分。结论股骨近端解剖型锁定接骨板具有操作步骤简单,固定稳固,手术时间短,并发症少等优点,适用于转子间骨折的治疗。ObjectiveThrough 38 retrospectively cases of fractures,analyze the clinical effects with anatomical proximal femur locking plates.MethodsTreat all the cases of intertrochanteric fracture by open reduction,application of AO development of anatomical proximal femoral locking plate internal fixation for the treatment.ResultsPatients are given follow-up. Time：6-24 months,none of the postoperative wound infection,pulmonary embolism occurs,delays healing. NonUnion,implant fracture,femoral head necrosis,femoral shaft and rotor fracture. Average fracture healing time for 3.5 months. Hip functional scores by Harris scoring criteria,assessed an average of 89.ConclusionAnatomical proximal femoral locking plate has a simple action steps,fixed steady,shorter surgery time,suitable for treatment of intertrochanteric fractures.

关 键 词：股骨转子间骨折 内固定 股骨近端解剖型锁定接骨板 疗效 

分 类 号：R687.3[医药卫生—骨科学]