CAJ | 학술논문

目的：探讨股骨近端解剖型锁定钢板切开复位内固定治疗各型股骨粗隆间骨折的临床效果。方法：应用股骨近端解剖型锁定钢板切开复位内固定治疗37例各型股骨粗隆间骨折。结果：37例患者均获随访，时间10~23个月，37例骨折全部骨性愈合，疗效评定按Harris评分，优：24例，良：10例，可：3例，优良率：91.9%。结论：股骨近端解剖型钢板切开复位内固定治疗股骨粗隆间骨折具有内固定牢固可靠，剥离骨膜和软组织少，适应证广泛，各个螺钉应力分布均匀，骨折愈合率高，能尽早下床功能锻炼等优点。
목적：탐토고골근단해부형쇄정강판절개복위내고정치료각형고골조륭간골절적림상효과。방법：응용고골근단해부형쇄정강판절개복위내고정치료37례각형고골조륭간골절。결과：37례환자균획수방，시간10~23개월，37례골절전부골성유합，료효평정안Harris평분，우：24례，량：10례，가：3례，우량솔：91.9%。결론：고골근단해부형강판절개복위내고정치료고골조륭간골절구유내고정뢰고가고，박리골막화연조직소，괄응증엄범，각개라정응력분포균균，골절유합솔고，능진조하상공능단련등우점。
Objective:To study the clinical effect of treating different femoral intertrochanteric fracture by open reduction and internal fixation using anatomical proximal femoral locking plate. Methods:We treated 37 patients of different femoral intertrochanteric fracture by open reduction and internal fixation using anatomical proximal femoral locking plate. Result:We had arranged follow-up to all the 37 patients for 10-23 month, all of who had shown bone healing, and had evaluated the effect of all the 37 cases according to the Harris Score, in which 24 cases were excellent, 10 cases were fine, 3 cases were fit, and the rate of excellent and fine cases was 91.9 percent. Conclusion:The method of treating different femoral intertrochanteric fracture by open reduction and internal fixation using anatomical proximal femoral locking plate had many advantages such as solid and reliable internal fixation, peeling off little periosteum and soft tissue, wide indications, stress well-distributed of every screw, high healing rate, and off-bed functional training earlier and so on.