经皮微创螺孔型股骨近端解剖钢板内固定治疗股骨转子间骨折

目的探讨经皮微创螺孔型股骨近端解剖型钢板治疗股骨转子间骨折的临床价值。方法2005年11月～2008年4月,应用间接复位技术,通过建立骨折两端皮下隧道,采用螺孔型股骨近端解剖型钢板内固定治疗股骨转子间骨折60例。根据术前术后X线片及术后髋关节功能、站立及行走等恢复情况评价内固定效果。结果60例随访9～33个月,平均24个月,根据黄公怡评定标准,优52例,良6例,差2例。结论治疗股骨转子间骨折方法多样,经皮微创螺孔型股骨近端解剖钢板是一种创新、优异的方法。

Minimally Invasive Percutaneous Internal Fixation Using Anatomical Screw Plate for Femoral Intertrochanteric Fracture

Objective To investigate the clinical value of minimally invasive percutaneous internal fixation in the treatment of femoral intertrochanteric fracture by using anatomical screw plate.Methods From November 2005 to April 2008,60 patients with femoral intertrochanteric fracture were treated in our hospital with minimally invasive percutaneous internal fixation.Through a subcutaneous tunnel between fracture ends,an anatomical screw plate was placed and fixed.The outcomes were evaluated by comparing the X-ray image taken before and after the operation.The functions of the hip and standing and walking were determined as well.Results The 60 patients were followed up for 9 to 33 months with a mean of 24 months.According to Huang＇s standard,52 patients achieved excellent outcomes,6 were good,and 2 were poor.Conclusion Minimally invasive percutaneous internal fixation is an effective method for the treatment of femoral intertrochanteric fracture.