锁定钢板治疗股骨粗隆间骨折的效果分析

目的观察分析股骨近端解剖锁定钢板治疗股骨粗隆间骨折的临床效果。方法选取2007年5月~2012年5月本院骨科收治的股骨粗隆间骨折患者156例,按照不同的手术方式将其分为对照组与观察组各78例,对照组采取动力髋螺钉治疗,观察组采用股骨近端解剖锁定钢板治疗,分析两组患者的临床治疗效果。结果观察组患者的住院时间为（15.3±3.6）d、手术时间为（85.9±18.2）min、手术切口为（9.4±1.6）cm、术中出血量为（292.7±17.8）ml、优良率为97.4%,优于对照组的（16.1±4.5）d、（112.4±20.8）min、（13.5±3.7）cm、（354.1±21.4）ml、84.6%,差异有统计学意义（P〈0.05）。结论股骨近端解剖锁定钢板治疗股骨粗隆间骨折,手术时间短,创伤小,出血量少,固定牢靠,骨折愈合效果好,值得临床推广应用。

Effect analysis of locking plate in the treatment of intertrochanteric fracture

Objective To observe and analyze the clinical effect of proximal femoral anatomic locking plate in the treatment of intertrochanteric fracture.Methods 156 cases of patients with intertrochanteric fracture were admitted to our hospital from May 2007 to May 2012 and were divided into control group and observation group,control group were received the treatment of dynamic hip screw,the observation group were received the treatment of proximal femoral anatomic locking plate.The clinical effects of the two groups were analyzed.Results The length of stay,duration of operation,operative incision,amount of bleeding and efficiency rate in observation group was（15.3±3.6） d,（85.9±18.2） min,（9.4±1.6） cm,（292.7±17.8） ml and 97.4% respectively,was better than（16.1 ±4.5） d,（112.4±20.8） min,（13.5±3.7） cm,（354.1±21.4） ml and 84.6% respectively in control group,the difference was significant（P0.05）.Conclusion Proximal femoral anatomic locking plate in the treatment of intertrochanteric fracture has shorter duration of operation,smaller incision,less bleeding,reliable fixation and better fracture healing,which is worthy of clinical promotion and application.