摘要
目的探讨采用倒置对侧Liss钢板治疗高龄患者股骨转子间粉碎性骨折的可行性。方法对2008年6月～2011年6月期间采用倒置对侧Liss钢板治疗70岁以上高龄股骨转子间粉碎性骨折患者24例进行疗效进行回顾性分析。结果所有患者进行6～24个月随访,平均12个月,1例患者出现术后1周不当搬运后髋内翻畸形,其他患者均愈合良好,对位对线满意,无钢板螺钉松动断裂,无2期移位病例。结论 Liss钢板对于大转子粉碎性骨折不适合髓内系统内固定,手术耐受性差,合并其他系统较多并发疾病患者提供一种创伤小,疗效较满意的治疗方法,缩短了卧床时间,降低了卧床并发症和致残率,减轻疼痛,改善护理难度。
Objective To investigate the feasibility of the contralateral inverted Less invasive stabilization system （ Liss ） in the treatment of intertrochanteric femoral fractures. Methods 24 patients over 70 years old who used the contralateral in- verted Liss for intertroehanteric fractures were retrospectively analyzed between June 2008 and June 2011. Results All pa- tients were followed up for 6 to 24 months （ an average of 12 months）. One week after operation a patient developed varus de- formity because of improper handling while others healed well and the bone position was satisfactory. Among the other 23 pa- tients there was no case of plate or screw loosening, and no displacement occurred in the second stage. Conclusion The in- verted Less invasive stabilization system is suitable for the comminuted greater trochanter fracture which is not suitable for intr- amedullary fixation system. It is a less invasive and more satisfactory surgery for the injured. Also it will shorten the time of treatment, reduce complications and disability, alleviate pain and improve the effect of care.
出处
《淮海医药》
2012年第5期386-388,共3页
Journal of Huaihai Medicine
关键词
股骨骨折
倒置Liss钢板系统
骨折固定术
内
老年人
Femoral fracture
Inverted Less invasive stabilization system
Fracture fixation, internal
Aged
