中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2014年
9期
909-912
,共4页
朱锋%徐耀增%耿德春%李荣群%付稳%朱世军%崔京福%朱永生%吴广鹏
硃鋒%徐耀增%耿德春%李榮群%付穩%硃世軍%崔京福%硃永生%吳廣鵬
주봉%서요증%경덕춘%리영군%부은%주세군%최경복%주영생%오엄붕
股骨颈骨折%骨折固定术,内%经皮加压钢板
股骨頸骨摺%骨摺固定術,內%經皮加壓鋼闆
고골경골절%골절고정술,내%경피가압강판
Femoral neck fractures%Fracture fixation,internal%Percutaneous compression plate
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.
目的 探討應用經皮加壓鋼闆(percutaneous compression plate,PCCP)治療股骨頸骨摺的早期療效. 方法 對2010年12月—2013年4月收治的74例股骨頸骨摺患者採用閉閤複位PCCP內固定治療,其中男38例,女36例;年齡(51.3±17.2)歲.Garden分型:Ⅰ型6例,Ⅱ型39例,Ⅲ型20例,Ⅳ型9例. 結果 傷後至手術時間(5.7±2.2)d,手術時間(73.4 ±31.5) min,術中失血量(116.4±99.2) ml.70例圍術期未輸血.8例失訪,餘66例隨訪(18.9±8.4)箇月.末次隨訪Harris評分(92.9±5.0)分,優良率99％.65例能獨立行走,1例需扶枴行走.部分負重時間(3.6±1.7)d,完全負重時間(2.1±1.4)箇月.骨摺臨床愈閤時間(3.9±1.6)箇月,無不愈閤.2例延遲愈閤;2例齣現股骨頭壞死,移位型骨摺及無移位型各1例. 結論 PCCP治療股骨頸骨摺具有創傷小、固定牢固、患者術後可早期負重、功能恢複佳、併髮癥少等優點.
목적 탐토응용경피가압강판(percutaneous compression plate,PCCP)치료고골경골절적조기료효. 방법 대2010년12월—2013년4월수치적74례고골경골절환자채용폐합복위PCCP내고정치료,기중남38례,녀36례;년령(51.3±17.2)세.Garden분형:Ⅰ형6례,Ⅱ형39례,Ⅲ형20례,Ⅳ형9례. 결과 상후지수술시간(5.7±2.2)d,수술시간(73.4 ±31.5) min,술중실혈량(116.4±99.2) ml.70례위술기미수혈.8례실방,여66례수방(18.9±8.4)개월.말차수방Harris평분(92.9±5.0)분,우량솔99％.65례능독립행주,1례수부괴행주.부분부중시간(3.6±1.7)d,완전부중시간(2.1±1.4)개월.골절림상유합시간(3.9±1.6)개월,무불유합.2례연지유합;2례출현고골두배사,이위형골절급무이위형각1례. 결론 PCCP치료고골경골절구유창상소、고정뢰고、환자술후가조기부중、공능회복가、병발증소등우점.
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.
