股骨近端锁定钢板置入修复老年稳定性股骨转子间骨折：疗效及并发症评估  

Proximal femur locking compression plate fixation for senile stable intertrochanteric femoral fractures:outcomes and complications

作　　者：王刊石[1] 赵磊[1] 周超[1] 

机构地区：[1]无锡市第三人民医院骨科,江苏省无锡市214041

出　　处：《中国组织工程研究》2015年第26期4208-4212,共5页Chinese Journal of Tissue Engineering Research

摘　　要：背景:股骨转子见骨折是老年患者最常见的骨折之一,如何有效的固定对骨科医师具有极大的挑战性,目前何种内固定最佳,学术界尚未形成共识。目的:评估经皮微创股骨近端锁定钢板置入内固定修复老年稳定性股骨转子间骨折的临床疗效及并发症。方法:2010年5月至2012年5月纳入经皮微创股骨近端锁定钢板置入内固定修复稳定性股骨转子间骨折患者98例。男34例,女64例;年龄59-93岁,平均76岁;从受伤到内固定时间为1-5 d,平均3 d。治疗后定期随访,评估骨折愈合时间、髋关节功能恢复Harris评分及并发症发生情况。结果与结论:随访时间12-24个月。所有患者内固定后切口均达1/甲级愈合,骨折获得临床愈合,骨折愈合时间12-20周,平均16周。无内固定失败及松动、骨折无旋转及短缩畸形、无螺钉切割股骨头等并发症发生。患者髋关节功能按Harris评分进行评估:优75例,良18例,优良率为95%。提示采用经皮微创股骨近端锁定钢板置入内固定修复稳定性股骨转子间骨折是一个可行的选择,患者可获得满意的内固定效果,并发症较少,说明植入物与老年宿主有良好的生物相容性。BACKGROUND：Intertrochanteric femoral fractures are one of the most common fractures in old patients.How to effectively fix has a great challenge for orthopedic surgeons.No consensus on which fixation method is optimal has been obtained in the academia.OBJECTIVE：To evaluate the clinical therapeutic effects and complications of minimally invasive percutaneous proximal femur locking compression plate for senile stable intertrochanteric fractures.METHODS：From May 2010 to May 2012,98 patients（34 males and 64 females） with stable intertrochanteric fractures were treated with minimally invasive percutaneous proximal femur locking compression plate fixation.The mean age was 76 years（range,59-93 years）.The mean time between fractures and operation was 3 days（range,1-5 days）.Patients were followed up regularly after treatment.Healing time,Harris score of hip function recovery and the occurrence of complications were evaluated.RESULTS AND CONCLUSION：All patients were followed up for 12-24 months.All incisions obtained healing by first intention.All fractures reached clinical healing,and the healing time was 12-20 weeks（16 weeks on average）.There was no fixation failure and loosing,rotation,crispatura deformity or screw cutting the femoral head.The function of the hip joint was assessed according to the Harris scoring：excellent in 75 cases and good in 18 cases,with the excellent and good rate of 95%.These data verify that proximal femur locking compression plate can be a feasible alternative to the treatment of stable intertrochanteric fractures.The patients obtained satisfactory outcomes,with less complication,indicating that there is a good biocompatibility between the implant and elderly host.

关 键 词：植入物 骨植入物 股骨转子间骨折 微创技术 股骨近端锁定钢板 内固定 

分 类 号：R318[医药卫生—生物医学工程]