CAJ | 학술논문

目的：探讨股骨近端解剖型锁定接骨板治疗股骨转子间骨折的临床效果。方法38例转子间骨折患者采用切开复位，应用AO研制的股骨近端解剖型锁定接骨板内固定治疗。从骨折的临床愈合时间，术后髋关节功能恢复程度，术后并发症方面分析临床疗效。结果患者均获得随访，时间6个月~24个月，术后均未出现切口感染，肺栓塞，延迟愈合，骨不连，内置物断裂，股骨头坏死，股骨干及大转子骨折，髋内翻，骨髓炎等并发症，平均骨折愈合时间3.5个月。髋关节功能评分按Harris评分标准，平均（89.0±8.7）分。结论股骨近端解剖型锁定接骨板具有操作步骤简单，固定稳固，手术时间短，并发症少等优点，适用于转子间骨折的治疗。
목적：탐토고골근단해부형쇄정접골판치료고골전자간골절적림상효과。방법38례전자간골절환자채용절개복위，응용AO연제적고골근단해부형쇄정접골판내고정치료。종골절적림상유합시간，술후관관절공능회복정도，술후병발증방면분석림상료효。결과환자균획득수방，시간6개월~24개월，술후균미출현절구감염，폐전새，연지유합，골불련，내치물단렬，고골두배사，고골간급대전자골절，관내번，골수염등병발증，평균골절유합시간3.5개월。관관절공능평분안Harris평분표준，평균（89.0±8.7）분。결론고골근단해부형쇄정접골판구유조작보취간단，고정은고，수술시간단，병발증소등우점，괄용우전자간골절적치료。
ObjectiveThrough 38 retrospectively cases of fractures,analyze the clinical effects with anatomical proximal femur locking plates.MethodsTreat all the cases of intertrochanteric fracture by open reduction,application of AO development of anatomical proximal femoral locking plate internal fixation for the treatment.ResultsPatients are given follow-up. Time:6-24 months,none of the postoperative wound infection,pulmonary embolism occurs,delays healing. NonUnion,implant fracture,femoral head necrosis,femoral shaft and rotor fracture. Average fracture healing time for 3.5 months. Hip functional scores by Harris scoring criteria,assessed an average of 89.ConclusionAnatomical proximal femoral locking plate has a simple action steps,fixed steady,shorter surgery time,suitable for treatment of intertrochanteric fractures.