引用本文:陈燕才,陈爱民,刘世杰,罗念祥.股骨近端空心钉锁定板治疗老年股骨粗隆间骨折疗效分析[J].中国临床新医学,2017,10(12):1188-1190.
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股骨近端空心钉锁定板治疗老年股骨粗隆间骨折疗效分析
陈燕才,陈爱民,刘世杰,罗念祥
528325 广东,佛山市顺德区第一人民医院附属杏坛医院骨科
摘要:
[摘要] 目的 探讨新型股骨近端空心钉锁定板应用于股骨粗隆间骨折的治疗效果。方法 选取该院2015-07~2016-07收治的应用股骨近端空心钉锁定板治疗的股骨粗隆间骨折患者74例,根据不同的手术方法将其分为观察组和对照组,各37例,观察组应用近端空心钉锁定板内固定治疗,对照组应用3枚空心钉内固定治疗方式,比较两组患者的手术时间、骨折愈合率、退钉、断板、股骨头坏死的发生率,比较两组治疗后的Harris评分情况。结果 观察组的手术时间为(135.2±6.4)min,较对照组[(123.5±4.3)min]延长,但骨折愈合率为94.59%,明显高于对照组的78.38%,退钉率为0,股骨头坏死率为5.41%,均明显低于对照组的16.22%及21.62%,组间比较差异有统计学意义(P<0.05)。观察组治疗后通过Harris评分的优良率为89.19%(33/37),对照组为62.16%(23/37),组间比较差异有统计学意义(P<0.01)。结论 新型股骨近端解剖锁定钢板应用于老年股骨粗隆间骨折的治疗可以取得较好的效果,有利于骨折的愈合,值得临床推广应用。
关键词:  新型股骨解剖锁定钢板  老年  股骨粗隆间骨折
DOI:10.3969/j.issn.1674-3806.2017.12.18
分类号:R 68
基金项目:
Curative effect of femoral proximal hollow screw locking plate on intertrochanteric fractures
CHEN Yan-cai, CHEN Ai-min, LIU Shi-jie, et al.
Department of Orthopedics, Xingtan Hospital Affiliated to the First People′s Hospital of Shunde District in Fushan City, Guangdong 528325, China
Abstract:
[Abstract] Objective To study the curative effect of femoral proximal hollow screw locking plate on intertrochanteric fractures.Methods Seventy-four patients with intertrochanteric fractures who received treatment of proximal femur cannulated screw locking plate were collected in our hospital and were divided into the observation group and the control group according to the different methods of surgery, with 37 cases in each group. The observation group was treated with proximal cannulated screw locking plate internal fixation, while the control group received three cannulated screw internal fixation. The operation time, the rate of fracture healing, the incidences of loosened screw and broken plates, femoral head necrosis and Harris scores after treatment were compared between the two groups.Results The operation time of the observation group(135.2±6.4)min was longer than that of the control group(123.5±4.3)min. The fracture healing rate of the observation group(94.59%) was significantly higher than that of the control group(78.38%). The incidence rates of loosened screw and femoral head necrosis in the observation group were significantly lower than those in the control group(0% vs 16.22%, 5.41% vs 21.62%)(P<0.05). The excellent and good rate of Harris scores in the observation group(89.19%) was significantly higher than that in the control group(62.16%) after treatment(P<0.01).Conclusion The new type of proximal femur anatomic locking plate is effective in the treatment of senile femoral intertrochanteric fractures.
Key words:  New type of femoral anatomic locking plate  Old age  Intertrochanteric fractures