CAJ | 학술논문

目的探讨采用经皮加压钢板(percutaneous compression plate,PCCP)治疗股骨转子间骨折的手术疗效.方法对2008年1月-2009年1月间行PCCP固定治疗的57例股骨转子间骨折患者进行分析,评价其手术疗效.结果所有患者骨折均于术后11～15周内愈合.术后无一例发生伤口感染、血肿形成、内固定失败和骨折端塌陷.手术切口均为2个约2 cm皮肤切口.术后无一例患者输血.术后髋关节评分优良率达93%.结论 PCCP微创固定手术能获得与经典的动力髋螺钉(DHS)内固定手术类似的疗效,同时在损伤程度、固定理念等方面优于DHS.PCCP是目前治疗老年股骨转子间骨折的第一选择.
목적 탐토채용경피가압강판(percutaneous compression plate,PCCP)치료고골전자간골절적수술료효.방법 대2008년1월-2009년1월간행PCCP고정치료적57례고골전자간골절환자진행분석,평개기수술료효.결과 소유환자골절균우술후11～15주내유합.술후무일례발생상구감염、혈종형성、내고정실패화골절단탑함.수술절구균위2개약2 cm피부절구.술후무일례환자수혈.술후관관절평분우량솔체93%.결론 PCCP미창고정수술능획득여경전적동력관라정(DHS)내고정수술유사적료효,동시재손상정도、고정이념등방면우우DHS.PCCP시목전치료노년고골전자간골절적제일선택.
Objective To discuss the value of percutaneous compression plate (PCCP) in treating intertrochanteric fractures. Methods A retrospective study was done on 57 patients with intertrochanteric fractures treated by PCCP from January 2008 to January 2009 to evaluate the operative effect.Results All the fractures were healed in 11-15 weeks after the operation, with no incision infection, hematoma, internal fixation failure or fracture collapse. Two surgical incisions were for 2 cm, with no blood transfusion found in any patient. According to Harris score, the postoperative excellent rate reached 92.6%. Conclusion PCCP can attain similar effect wiht DHS and now is the choice of treatment in treating intertrochanteric fracture in the elderly patients.