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锁定加压钢板治疗老年骨质疏松性股骨粗隆间骨折的疗效分析
引用本文:李永忠,林华,刘超,吴煌,闵华.锁定加压钢板治疗老年骨质疏松性股骨粗隆间骨折的疗效分析[J].中国中医骨伤科杂志,2011(3):36-37.
作者姓名:李永忠  林华  刘超  吴煌  闵华
作者单位:宜昌市第二人民医院骨科;
摘    要:目的:探讨运用股骨近端锁定加压钢板治疗老年骨质疏松性股骨粗隆间骨折的临床疗效。方法:2006年11月~2008年9月,采用股骨近端锁定加压钢板治疗老年骨质疏松性股骨粗隆间骨折41例,男17例,女24例。年龄65~94岁,平均74.6岁。参照Evans股骨粗隆间骨折分型标准分类:Ⅰ型4例,Ⅱ型3例,Ⅲ型17例,Ⅳ型15例,逆粗型2例。观察疗效。结果:41例患者全部得到随访。随访10~18个月(平均12个月),本组41例患者术中出血200~500mL,平均出血360mL;手术时间50~90min,平均65min;骨折愈合时间12~20周。采用Sanders功能评定标准:优22例,良16例,差3例,优良率为92.68%。结论:股骨近端锁定加压钢板治疗老年骨质疏松性股骨粗隆间骨折具有固定稳定,组织损伤小,骨折愈合率高等优点,具有良好的临床应用价值。

关 键 词:股骨粗隆间骨折  骨质疏松  锁定加压钢板  老年人

Therapeutic Effect of Osteoporotic Intertrochanteric Fractures Treated with Locking Compression Plate
LI Yongzhong,LIN Hua,LIU Chao,WU Huang,MEI Hua.Therapeutic Effect of Osteoporotic Intertrochanteric Fractures Treated with Locking Compression Plate[J].Chinese Journal of Traditional Medical Traumatology & Orthopeics,2011(3):36-37.
Authors:LI Yongzhong  LIN Hua  LIU Chao  WU Huang  MEI Hua
Institution:LI Yongzhong 1 LIN Hua 1 LIU Chao 1 WU Huang 1 MEI Hua 1 1Department of Orthopaedics,the Second People Hospital of Yichang,Yichang,Hubei Province,443000 China
Abstract:Objective: To investigate the therapeutic effect of senile osteoporotic intertrochanteric fractures treated with locking compression plate.Methods: A total of 41 senile patients(male 17 and female 24) with intertrochanteric fracture,treated with open reduction and fixation with LCP,were selected from Department of Orthopedics of the Second People Hospital of Yichang between November 2006 and September 2008.Age range was 65 to 94 years,and the average age was74.6.According to the Evans Intertrochanteric frac...
Keywords:Intertrochanteric fracture  Osteoporosis  locked compression plate  Elderly  
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