股骨远端锁定钢板治疗老年人股骨远端骨折的疗效分析

目的：探讨老年人股骨远端锁定钢板治疗股骨远端骨折的临床疗效。方法：回顾性分析我院2006年6月～2009年6月股骨远端骨折的老年患者的基本资料和临床资料，并分为股骨钢板组和拉力螺钉组，并对疗效进行比较。结果：152例患者住院l～2周，平均住院（9．5±1．5）d。按Lysholm评定标准，股骨钢板组优良率为94．74％，拉力螺钉组优良率为77．63％，股骨钢板固定疗效显著优于拉力螺钉内固定（P〈O．05）。股骨钢板治疗组复位较好，未见螺钉松动、钢板断裂、骨折移位等并发症，患部疼痛、膝关节屈曲、外展活动受限、切口感染等并发症均低于拉力螺钉组（P＜0．05）。结论：股骨锁定钢板治疗老年人股骨远端骨折疗效好，预后康复较快，能较快提高老年患者骨折后的生活质量。

Clinical efficacy of locking plate in the treatment of distal femoral fractures

Objective： To evaluate the efficacy of locking plate on distal femoral fracture for the elderly patients. Methods： Retrospective analysis of basic and clinic datas of distal femoral fracture from June 2006 to June 2009 in our hospital, 152 cases were divided into two groups, locking plate group and lag screw group. Results： The length of stay for 152 cases was 1-2 weeks, average （9.5±1.5） d. The excellent and good rate of locking plate group was 94.74%, and the excellent and good rate of lag screw group was 77.63%, there was a significant difference （P〈0.05）. The locking plate group for anatomical reduction, pain, flection, limitation of activity and infection were less than those of the lag screw group （P〈0.05）. Conclusion： The efficacy of locking plate in the treatment of distal femoral fracture are efficiency and can improve the therapeutic effect and quality of life fast.