摘要
目的：探讨股骨近端万向锁定钢板内固定治疗老年人复杂股骨转子间骨折的临床疗效。方法：回顾性分析2011年1月~2013年1月应用股骨近端万向锁定钢板内固定治疗且获随访的42例老年股骨转子间骨折患者资料，男19例，女23例；年龄67^93岁，平均75．6岁。骨折根据AO分型：均为A3型，其中A3．1型12例，A3．2型14例，A3．3型16例。受伤至手术时间为3~7天，平均4．5天。记录手术时间、术中透视时间、住院天数、术中出血量及并发症等情况。末次随访时根据髋关节Harris评分标准评定疗效。结果：本组所有患者术后均获随访，平均18个月（12～30个月）；本组患者手术时间平均为58分（45—90分钟）；平均术中透视时间为156秒（60～280秒）；术中出血量平均为230mL（200—260m1）；平均住院天数为14天（11～20天）；所有患者刀1：2均1期愈合，无1例发生切口延迟愈合或感染。术后l例发生下肢深静脉血栓形成，经治疗后痊愈。末次随访时根据髋关节Harris评分标准评定疗效：优23例，良15例，可4例，优良率为90．4％。本组患者无褥疮、肺炎、肺栓塞、股骨头缺血性坏死及骨折畸形愈合等并发症发生。结论：股骨近端万向锁定钢板内固定治疗老年人复杂股骨转子间骨折具有手术时间短、手术操作容易、固定安全可靠、术中出血少及患者能够早期进行功能锻炼等优点，临床疗效良好。
Objective： To study the femoral proximal universal locking plate internal fixation to treat the elderly the clinical curative effect of complex femoral fractures between rotor. Methods： A retrospective analysis in January 2011 to January 2013 application of proxi- mal femur universal treatment and locking plate internal fixation for follow - up data of 42 cases of elderly patients with femoral fractures between rotor, （19 male and female 23 cases; 67 ~ 93 years old, average 75.6 years. Fracture according to AO classification： are the A3 type, including 12 cases A3.1 type, type A3.2 14 cases, 16 cases of A3.3 type. Injury to the surgery time is 3 to 7 d, 4.5 d. Record the operation time, intraoperative fluoroscopy time, hospitalization days, intraoperative blood loss and complication, and so on and so forth. According to the Harris hip score standard at the time of the last follow - up evaluation curative effect. Results： All patients with postoperative follow - up, an average of 18 months （ 12 - 30 months） ; This group of patients with surgery for an average of 58 min （45 - 90 rain） ; The average intraoperative fluoroscopy time of 156 s （60 - 280 s） ; Intraoperative blood loss, an average of 230 rnl （200 ~ 260 rrd） ; The average hospitalization days for 14 d （ 11 - 20 d） ; All patients blade are primary healing, no case of delayed healing of in- cision or infection. Postoperative deep vein thrombosis of lower limb, and one recovered after treatment. According to the Harris hip score standard at the time of the last follow - up evaluation curative effect ： 23 eases, 15 cases, 4 cases, fine rate was 90.4%. This group of pa- tients without bedsore, pneumonia, pulmonary embolism, ischemic necrosis of femoral head and complications such as fracture malunion. Conclusion：proximal femoral universal locking plate internal fixation to treat the elderly complex femoral fractures between the rotor has a shorter operation time, easy operation, safe and reliable fixation, intraoperative patients with less bleeding and can carry on the advantages of functional exercise early, clinical curative effect is good.
出处
《中国伤残医学》
2014年第7期1-3,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
髋骨折
骨折固定术
内
骨板
老年人
Hip fracture
Fracture fixation
Bone plate
The elderly
