老年股骨远端骨折的治疗特点  

Treatment characteristics of elderly patients with distal femoral fracture

作　　者：李光明 杨磊 千东升 张志伟 李科 王肖波 LI Guang - ruing YANG Lei QIAN Dong - sheng et al(Department of Orthopaedics , The Tongren Orthopaedics Hospital of Jiaozuo Henan 454000 Chin)

机构地区：[1]河南省焦作市焦作同仁医院骨科,河南焦作454000

出　　处：《中国伤残医学》2016年第22期8-10,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：分析老年股骨远端骨折治疗方面的特点。方法：选择股骨远端骨折手术治疗28例，根据AO／ASIF分型，A型5例，B型7例，C型16例，采用股骨远端锁定钢板内固定术，术后随访1-2年。结果：所有骨折全部愈合，未发现骨折不愈合及钢板螺钉断裂松动现象。根据Kolmenrt股骨远端功能评定标准，优22例，良3例，一般2例，差1例，优良率89．3％。结论：老年股骨远端骨折多伴有骨质疏松，骨折易粉碎缺损，股骨远端锁定钢板内固定术是治疗老年股骨远端骨折较理想的方法。Objective： To analyze the characteristics of the treatment of elderly patients with distal femoral fractures. Methods： 28 ca- ses of distal femoral fractures were treated by surgical treatment. According to AO/ASIF classification, type A in 7 cases, type B in 5 ca- ses, type C in 16 cases. All patients were fixed with distal femoral locking plate, followed up for 1 to 2 years. Results： All fractures were healed,there was no fracture nonunion and fracture of the steel plate and screws. Conclusion： Elderly patients with osteoporosis, distal femoral fractures should be often comminuted and defect, and using distal femoral locking plate to fix distal femoral fractures might be an ideal method for treatment .

关 键 词：股骨远端骨折 锁定板 内固定 手术治疗 老年 

分 类 号：R683.42[医药卫生—骨科学]