小切口解剖钢板内固定治疗股骨转子区骨折

目的探讨小切口解剖钢板内固定治疗股骨转子区骨折的临床疗效。方法回顾分析60例不稳定型转子区骨折分别采用动力髋与小切口解剖钢板内固定治疗。其中DHS内固定组28例，小切口解剖钢板内固定组32例。对比两组手术时间、术中出血量、骨折解剖复位率、骨折愈合时间、髋关节功能优良率。结果小切口解剖钢板内固定治疗手术时间短（P〈0．01），术中出血量少（P〈0.05），骨折解剖复位率高（P〈0.05），骨折愈合时间、术后髋关节功能优良率无差异（P〉0．05）。结论小切口解剖钢板内固定治疗股骨转子区不稳定型骨折，手术操作简便，术后髋关节功能恢复好，是治疗不稳定型股骨转子区骨折较好选择之一。

Observation of Minimal Incision and Anatomic Plate for Femoral Regiontrochanteric Fracture

Objective To investigate the treatment and effect of minimal incision and anatomic plate for femoral regiontrochanteric fracture. Methods A retrospective analysis was applied to a total of 60 patients suffering from unstable regiontrochanteric fractures and were treated with dynamic hip screw DHS or minimal incision and anatomic plate. Twenty-eight cases of them were treated with DHS. Thirty-two cases were treated with minimal incision and anatomic plate. Compare the operative manipulation and the outcomes of treatment. Results The operative manipulation of minimal incision and anatomic plate internal fixation took less time（P〈 0.01 ）, lost less blood（P〈0.05）, and had better anatomic reduction status（P〈0.05）. Better functions of hip and the time of fractures healing were found the same in the outcomes （P〉 0.05 ）. Conclusion Minimal incision and anatomic plate for femoral regiontrochanteric fracture is one of the good choices for the treatment of femoral unstable regiontrochanteric fractures and it is better than DHS. The operative manipulation is simple and the post-operation functions of hip recover well.