解剖型锁定钢板治疗老年性股骨远端骨折

目的探讨解剖型锁定钢板治疗老年性股骨远端骨折的临床疗效。方法自2005年12月至2007年11月老年性股骨远端骨折患者15例。Müller分型:A2型3例,A3型2例,B2型2例,C1型4例,C2型3例,C3型1例。均采用股骨远端锁定钢板固定,术后未用外固定,配合CPM早期膝关节的功能锻炼。结果所有病例经8～18月随访,平均13月,骨折均愈合,愈合时间4～6个月,平均约5.3个月,按照AO膝关节功能评分,优良达13例,优良率86.7%。结论解剖型锁定钢板外形设计合理,对骨折血供破坏少,不易松钉,适合于老年性股骨远端骨折特别是有骨质疏松的患者,值得临床应用。

Treatment of aged distal femur fracture with anatomical locking compression plate

Objective To investigate the anatomic locking plate in treatment of age-related clinical efficacy of distal femoral fractures. Methods From December 2005 to November 2007,15 patients with senile fractures of distal femur. MUller classification： A2-type 3 cases, A3 type 2 cases, B2 type 2 cases, Cl-type 4 cases, C2-type 3 cases, C3 type 1 case. All cases are used distal femur locking plate fixation, external fixation were not used, with the CPM knee early functional exercise. Results All eases were followed up for 8 to 18 months, an average of 13 months. All the fractures united with the union time 4 - 6 months, an average of about 5.3 months＇s In accordance with AO knee function score, good up to 13 cases, excellent and good rate was 86.7%. Conclusion Anatomic locking plate shape design is reasonable, less destructive of blood supply to the fracture,not easy to loose nails, suitable for distal femoral fractures especially for senile patients with osteoporosis and it is worth clinical application.