倒LISS钢板治疗高龄股骨转子间骨折22例临床分析

目的探讨高龄患者股骨转子间骨折的手术方法及疗效。方法回顾性分析倒置LISS钢板治疗后的22例高龄(75岁以上)股骨转子间骨折患者的临床资料。年龄75～93岁,平均82岁。按Tronzo-Evans分型:Ⅲ型7例,Ⅳ型11例,Ⅴ型4例。术后定期复查X片,根据Kuderna改良的MerleD,Aubigne score标准评价髋关节疗效。结果随访12～48个月,平均22.6个月。骨折全部愈合,愈合时间7～12个月,平均9.6个月。术后无骨不连、钢板螺钉断裂脱出或股骨头坏死。髋关节功能:优16例,良6例。结论倒置LISS钢板具有手术操作简单、固定牢靠、损伤小、骨折愈合率高等优点,适合高龄股骨转子间骨折患者的手术要求,是一种值得临床推广的手术方法。

THERAPEUTIC EFFECT OF REVERSE LISS PLATING FOR INTERTROCHANTERIC FRACTURES IN 22 AGED PATIENTS

Objective To discuss the surgical method and efficacy of the femoral intertrochanteric fractures of the aged people.Methods 22 patients(75 years above) with the femoral intertrochanteric fractures and managed with reverse less invasive stabilization system(LISS) plates were analyzed,retrospectively.There were 14 females and 8 males with a median age of 82(range,75-93 years) years.According to the Tronzo-Evans classification,type III in 7 cases,type IV in 11 cases,type V in 4 cases.Regular postoperative followed patients up by rechecked X-ray.Clinical and functional outcomes were evaluated by radiography and Merle D,Aubigne scores improved by Kuderna.Results The average follow-up period was 22.6(range,12-48) months.The fractures united at a median of 9.6(range,7-12) months postoperatively.Radiographically,no collapses,screw cutouts,or head penetrations were seen.The function of hip joint was excellent in 16 cases,and good in 6 cases.Conclusion The reverse LISS plating is worthy for spreading with simple,firmed fixation,minimal injury and high bony healing rate.So it is very suitable for the femoral intertrochanteric fracture of the aged people.