皖南医学院学报
皖南醫學院學報
환남의학원학보
ACTA ACADEMIAE MEDICINAE WANNAN
2014年
3期
237-239
,共3页
股骨粗隆间骨折%老年%锁定钢板%骨折内固定术
股骨粗隆間骨摺%老年%鎖定鋼闆%骨摺內固定術
고골조륭간골절%노년%쇄정강판%골절내고정술
intertrochanteric fracture%elderly%locking plate%internal fracture fixation
目的：探讨应用股骨近端锁定钢板治疗老年股骨粗隆间骨折的临床疗效。方法：对18例老年股骨粗隆间骨折应用股骨近端锁定钢板内固定治疗。结果：手术时间70～120 min；术中出血量100～250 ml；切口均一期愈合。18例均获随访，随访时间6～18个月。骨折临床愈合时间4～6月。按Harris髋关节功能评分标准：优14例，良2例，可2例。结论：应用股骨近端锁定钢板治疗老年股骨粗隆间骨折，操作简单、创伤小、固定牢靠、稳定性好、骨折愈合率高，临床疗效满意。
目的：探討應用股骨近耑鎖定鋼闆治療老年股骨粗隆間骨摺的臨床療效。方法：對18例老年股骨粗隆間骨摺應用股骨近耑鎖定鋼闆內固定治療。結果：手術時間70～120 min；術中齣血量100～250 ml；切口均一期愈閤。18例均穫隨訪，隨訪時間6～18箇月。骨摺臨床愈閤時間4～6月。按Harris髖關節功能評分標準：優14例，良2例，可2例。結論：應用股骨近耑鎖定鋼闆治療老年股骨粗隆間骨摺，操作簡單、創傷小、固定牢靠、穩定性好、骨摺愈閤率高，臨床療效滿意。
목적：탐토응용고골근단쇄정강판치료노년고골조륭간골절적림상료효。방법：대18례노년고골조륭간골절응용고골근단쇄정강판내고정치료。결과：수술시간70～120 min；술중출혈량100～250 ml；절구균일기유합。18례균획수방，수방시간6～18개월。골절림상유합시간4～6월。안Harris관관절공능평분표준：우14례，량2례，가2례。결론：응용고골근단쇄정강판치료노년고골조륭간골절，조작간단、창상소、고정뢰고、은정성호、골절유합솔고，림상료효만의。
Objective:To observe the clinical efficacy of treating intertrochanteric fractures in elderly patients by proximal femoral locking plate .Methods:Eighteen elderly patients with intertrochanteric fractures were treated by internal fixation with proximal femoral locking plate .Results: The operation time ranged from 70 to 120 minutes.Intraoperative blood loss was from 100 to 250 ml,and primary healing of incision achieved in the total patients.Follow-up in 6 to 18 months showed that the fractures were healed in 4 to 6 months.By Harris hip score of the 18 patients,14 were excellent,2 were good,and 2 were fair.Conclusion: Proximal femoral locking plate for elderly intertrochanteric fractures can be effective and has advantages of simple performance in proce-dure,less trauma to the bone,tight locking,angular stability and higher healing rate.
