股骨近端锁定钢板治疗股骨转子间骨折

目的:评价股骨近端锁定钢板治疗股骨转子间骨折的临床疗效。方法:采用切开复位股骨近端锁定钢板内固定术治疗23例老年人股骨转子间骨折,术后随访4～18个月,平均(12.87±4.52)个月。结果:本组病例的平均手术时间(69.26±15.28)min(50～105min),术中失血量(200.22±53.92)mL(95～280mL),术后平均骨折愈合时间为(113.17±30.47)d(80～180d)。术后1例轻度髋内翻。优良率为95.65%。结论:老年人股骨转子间骨折应用股骨近端锁定钢板早期内固定,效果可靠。术前行ASA评价对制定手术方案和改善疗效可能具有一定的指导作用。

Use of Proximal Locking Plates in Treatment of Femoral Intertrochanteric Fractures in Elderly Patients

Objective To evaluate the effects of proximal locking plates for the treatment of femoral intertrochanteric fractures. Methods Twenty-three old patients with femoral intertrochanteric fractures were treated with locking plates internal fixation. All cases were followed up for 4～18 averaging （12.87±4.52） months. Results The average operation time was （69.26±15.28） min （50～105） min, the average loss of blood during the operation was （200.22±53.92） mL （95～280） mL, and the average time of fracture healing was （113.17±30.47） d （80～180） d. One case had slight coax vara. The excellent and good rate was 95.65%. Conclusion The use of proximal locking plates in the treatment of femoral intertrochanteric fractures in an elderly patient population is a feasible and effective method. Preoperative evaluation of ASA score may be helpful in the design of operative plan and in the improvement of curative effect.