摘要
目的 探讨应用经皮加压钢板（percutaneous compression plate,PCCP）治疗股骨颈骨折的早期疗效. 方法 对2010年12月—2013年4月收治的74例股骨颈骨折患者采用闭合复位PCCP内固定治疗,其中男38例,女36例;年龄（51.3±17.2）岁.Garden分型：Ⅰ型6例,Ⅱ型39例,Ⅲ型20例,Ⅳ型9例. 结果 伤后至手术时间（5.7±2.2）d,手术时间（73.4 ±31.5） min,术中失血量（116.4±99.2） ml.70例围术期未输血.8例失访,余66例随访（18.9±8.4）个月.末次随访Harris评分（92.9±5.0）分,优良率99％.65例能独立行走,1例需扶拐行走.部分负重时间（3.6±1.7）d,完全负重时间（2.1±1.4）个月.骨折临床愈合时间（3.9±1.6）个月,无不愈合.2例延迟愈合;2例出现股骨头坏死,移位型骨折及无移位型各1例. 结论 PCCP治疗股骨颈骨折具有创伤小、固定牢固、患者术后可早期负重、功能恢复佳、并发症少等优点.
Objective To investigate the preliminary effects of femoral neck fractures treated with percutaneous compression plate （PCCP）.Methods Closed reduction and internal fixation with PCCP was carried out in treatment of 74 patients with femoral neck fracture between December 2010 and April 2013.Thirty-eight patients were males and 36 were females with age of （51.3 ± 17.2） years.According to the Garden classification,there were 6 patients with type Ⅰ,39 with type Ⅱ,20 with type Ⅲ,and 9 with type Ⅳ fractures.Results Duration from injury to operation was （5.7 ± 2.2） days.Operation time lasted for （73.4 ± 31.5） minutes and intraoperative blood loss was （116.4 ± 99.2） ml.Seventy patients were operated on without blood transfusion.Sixty-six patients were followed up for （18.9 ± 8.4） months.Harris score was （92.9 ±5.0） points at final follow-up,with the excellent-good rate of 99％.Sixty-five patients could walk independently,but one walked with the help of crutches.Partial weight-bearing time was （3.6 ± 1.7） days and full weight-bearing time was （2.1 ± 1.4） months.All fractures healed in a period of （3.9 ± 1.6） months.Two patients had delayed union; two developed avascular necrosis including 1 with displaced fracture and 1 undisplaced fracture.Conclusions Internal fixation with PCCP has advantages of decreased trauma,rigid fixation,early weight bearing,good function outcome,and low risk of complications.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2014年第9期909-912,共4页
Chinese Journal of Trauma
基金
江苏省临床医学科技专项资助项目（BL2012004）
国家自然科学基金资助项目（81101399,81272018,81372018）
江苏省自然科学基金资助项目（BK2011303）
江苏省研究生培养创新工程资助项目（CXZZ13_0835）.
关键词
股骨颈骨折
骨折固定术
内
经皮加压钢板
Femoral neck fractures
Fracture fixation, internal
Percutaneous compression plate
