PFLCP内固定治疗老年外侧壁危险型股骨粗隆间骨折的疗效观察

发布时间：2018-05-25 08:09

  本文选题：股骨粗隆间骨折 + 外侧壁　； 参考：《中国骨与关节损伤杂志》2016年12期

【摘要】：目的评价股骨近端锁定加压钢板(PFLCP)内固定治疗老年外侧壁危险型股骨粗隆间骨折的临床疗效。方法回顾性分析自2009-06—2013-10采用PFLCP内固定治疗72例老年外侧壁危险型股骨粗隆间骨折,术后依据Harris评分评价患者髋关节功能恢复情况。结果所有患者均获得随访12~22个月,平均14.3个月。骨折均愈合,愈合时间13~21周,平均17.1周。术后1年疗效依据Harris评分评定:优54例,良10例,可3例,差5例,优良率88.9%。出现髋内翻畸形2例,髋外展无力1例,大粗隆顶端骨块上移1例。无股骨头切割、内固定断裂及骨折不愈合等并发症发生。结论PFLCP治疗老年外侧壁危险型股骨粗隆间骨折符合生物力学特性,骨折愈合率高,功能恢复佳,并发症少,是治疗此类骨折安全有效的方法。
[Abstract]:Objective to evaluate the clinical effect of PFLCP-based internal fixation of proximal femoral locking compression plate in the treatment of elderly patients with perilous intertrochanteric fracture of the lateral wall of femur. Methods A retrospective analysis was made on 72 elderly patients with perilous intertrochanteric fracture of the lateral wall treated with PFLCP internal fixation since 2009-06-2013-10. The recovery of hip joint function was evaluated according to the Harris score. Results all the patients were followed up for 12- 22 months with an average of 14.3 months. The healing time was 1321 weeks (mean 17.1 weeks). According to Harris score, 54 cases were excellent, 10 cases were good, 3 cases were fair, 5 cases were poor, and the excellent and good rate was 88.9%. There were 2 cases of coxa varus deformity, 1 case of hip abduction weakness and 1 case of upward movement of bone mass at the top of great trochanter. There were no complications such as femoral head cutting, internal fixation fracture and fracture nonunion. Conclusion PFLCP is a safe and effective method for the treatment of peril femoral intertrochanteric fractures of the lateral wall of the elderly. The fracture healing rate is high, the functional recovery is good, and the complications are less.
【作者单位】： 张家港市第一人民医院骨科;
【分类号】：R687.32
，

本文编号：1932720