摘要
目的探讨成年人股骨干骨折双钢板锁定内固定治疗的疗效以及预后。方法选取2014年2月至2016年3月在我院应用锁定加压钢板治疗的股骨干骨折80例,随机分为观察组和对照组,每组40例,观察组给予双钢板锁定内固定治疗,对照组给予动力加压接骨板疗法治疗,比较2组患者膝关节功能障碍、感染、再发骨折等指标;采用HSS膝关节功能评分标准、Karlstrom-Olerud股骨骨折疗效判定治疗效果。结果观察组出现感染、膝关节功能障碍以及再发骨折发生率低于对照组(均P<0.05);观察组患者HSS膝关节功能以及临床疗效优良率高于对照组(均P<0.05)。结论双钢板固定方式治疗成人股骨干骨折可有效减少并发症,能早期对患者进行功能锻炼,效果显著。
Objective To investigate the curative effect and prognosis of double-plate fixation in adults with femoral shaft fractures. Methods Eighty patients with femoral shaft fractures treated in our hospital between March 2016 and February 2014 were randomly divided into an observation group and a control group, with 40 patients in each group. The observation group received treatment with dou- ble locking internal fixation, and the control group received dynamic compression plate treatment. Knee joint dysfunction, infection, ao.d fractures were compared between the two groups. The hospital for special surgery （HSS） standard for evaluation of knee joint function and Karlstrom-Olerud score for femoral fractures were used to assess the curative effect. Results In the observation group, the incidence rates of infection, knee joint dysfunction, and fracture were lower than that in the control group （P 〈 0.05）; the HSS score for knee joint function and clinical curative effect in the observation group were higher than those in the control group （P 〈 0.05）. Conclusion Double-plate fixation for adult femoral shaft fractures can effectively reduce complications and allows for early initiation of functional exercise.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2017年第10期924-926,930,共4页
Journal of China Medical University
关键词
股骨干骨折
成人
内固定式治疗
疗效
femoral shaft fractures
adults
treatment with internal fixation
curative effect
