LCP内固定治疗股骨远端C型骨折30例

目的：探讨采用 LCP内固定治疗股骨远端C型骨折的临床疗效。方法：对2010年6月～2013年5月收治的30例股骨远端C型骨折的患者均采用LCP内固定治疗，其中男24例，女6例；年龄22～56岁。骨折按AO分类法：C1型骨折10例、C2型骨折12例。 C3型骨折8例。术后随访时间为9～18个月，按Merchan膝关节评分标准评定疗效。结果：本组患病例均达骨性愈合，愈合时间10～16个月，除2例患者出现内固定断裂外，其余病例未出现内固定断裂；优12例、良14例、可3例、差1例，优良率86．7％。结论：LCP内固定治疗是治疗股骨远端C型骨折的一种有效方法，可推广用于股骨远端的各型骨折。

Treatment of Internal Fixation with Lockign Compression Plate on 30 Cases with Type C Fractures of Distal Femur

Objective：To explore the clinical efficacy of internal fixation with locking compression plate （ LCP） treatment on type C fractures of distal femur .Methods：30 patients with type C fractures of distal femur hospitalized from June 2010 to May 2013 were treated using internal fixation with LCP , including 24 males and 6 females who aged 22 to 56 years old.According to AO classification system , there were 10 cases of type C1, 12 of type C2 and 8 of type C3.Postoperative follow-up time was 9 to 18 months.Efficacy was evaluated with assessment criteria of Merchan .Results：bone union had achieved in all the patients of this group with 10 to 16 months of healing time.Internal fixation broken was found only in 2 cases, the remaining did not occur .There were 12 case that got excellent results , 14 got good, 3 got general and 1 got poor.The Excellent and good rate were 86.7%.Conclusion：internal fixation with LCP is an effective way to treat type C fractures of distal femur , which is worthy of promoting to various type fractures of distal femur .