医学信息
醫學信息
의학신식
Medical Information
2015年
41期
100-100
,共1页
解剖型钢板%粗隆部骨折%骨折内固定术
解剖型鋼闆%粗隆部骨摺%骨摺內固定術
해부형강판%조륭부골절%골절내고정술
Anatomic locking plate%Intertrochanteric fractures%Fracture fixation,internal
目的：探讨解剖型锁定钢板治疗股骨粗隆部骨折的临床。方法2010年1月~2015年12月，作者应用解剖型锁定钢板治疗股骨粗隆部骨折31例。骨折按AO分型，A1院11例；A2院13例；A3院7例。术中通过牵引床闭合复位或切开复位，经股骨近端外侧切口放置钢板，术后常规使用CPM辅助功能锻炼，结果全组随访6~18个月，平均10个月。全组病例无切口感染，1例发生骨折移位，经再手术骨折愈合。髋关节功能按黄公怡[1]的治疗评价院优18例，良12例，差1例。结论解剖型锁定钢板治疗股骨粗隆部骨折的一种较为理想的方法。
目的：探討解剖型鎖定鋼闆治療股骨粗隆部骨摺的臨床。方法2010年1月~2015年12月，作者應用解剖型鎖定鋼闆治療股骨粗隆部骨摺31例。骨摺按AO分型，A1院11例；A2院13例；A3院7例。術中通過牽引床閉閤複位或切開複位，經股骨近耑外側切口放置鋼闆，術後常規使用CPM輔助功能鍛煉，結果全組隨訪6~18箇月，平均10箇月。全組病例無切口感染，1例髮生骨摺移位，經再手術骨摺愈閤。髖關節功能按黃公怡[1]的治療評價院優18例，良12例，差1例。結論解剖型鎖定鋼闆治療股骨粗隆部骨摺的一種較為理想的方法。
목적：탐토해부형쇄정강판치료고골조륭부골절적림상。방법2010년1월~2015년12월，작자응용해부형쇄정강판치료고골조륭부골절31례。골절안AO분형，A1원11례；A2원13례；A3원7례。술중통과견인상폐합복위혹절개복위，경고골근단외측절구방치강판，술후상규사용CPM보조공능단련，결과전조수방6~18개월，평균10개월。전조병례무절구감염，1례발생골절이위，경재수술골절유합。관관절공능안황공이[1]적치료평개원우18례，량12례，차1례。결론해부형쇄정강판치료고골조륭부골절적일충교위이상적방법。
Objective To explore the clinical ef ect of treatment of intertrochanteric fractures with anatomic locking plate.Methods From January 2010 to December 2015,a total of 31 cases with intertrochanteric fractures were operated with anatomic locking plate.According to the AO classification,there were 11 cases with A1,13 with A2 and7 with A3.Fracture was fixed by plate via lateral approach of proximal femur after closed or open reduction.CPM was routinely used for practise after operation.Results Al cases were fol owed up for a mean 14 months (range,6 to 18 months).No wound infection was found postoperatively.The displacement fracture was found in one case and bone healed after operation again.According to the Huang’s rating system,result was excel ent in 18 cases,satisfactory in 12 and fair in 1.Conclution Anatomic locking plate is an ef ective method for complex intertrochanteric fractures.
