微创内固定治疗偏瘫合并髋部骨折35例分析

目的分析经皮空心加压螺纹钉内固定治疗偏瘫合并髋部骨折的临床疗效。方法回顾性总结35例偏瘫合并髋部骨折患者采用经皮空心加压螺纹钉内固定的治疗效果，其中股骨颈骨折24例，转子间骨折11例，在C型臂X光机透视下闭合复位，经皮置入2～3枚空心加压螺纹钉固定，观察手术创伤、住院时间、围手术期并发症、早期活动、早期并发症、死亡率等指标。结果35例手术顺利完成，手术切口1．5～2cm、平均住院时间12d，围手术期并发症5例，早期并发症6例，随访期内死亡5例。结论选择合适的适应证，微创内固定治疗偏瘫合并髋部骨折可获得良好的临床效果。

A survey of 35 cases of treatment of hemiparalysis hip fracture merger with minimally invasive internal fixation

Objective To analyze the clinical effects of treating hemiparalysis complicated with hip fracture through minimally invasive internal fixation with intracutaneous hollow pressure screws. Methods A summary was made on the clinical effects of treating 35 patients with hemiplegic hip fracture through internal fixation with intracutaneous hollow pressure screws, of whem 24 complicated with fracture of neck of femur and 11 intertrochanteric fractures. A C - shape brachionus X - machine was used to close reduction and join the fracture again, then fix it internally with placing 2 or 3 intracutaneous hollow pressure screws intracutaneously. Meanwhile,the indexes are recorded on operative wound, hospitalization period, perioperation complication, early daily activities, early complication, death rate, etc. Results Operations of 35 patients had been successfully performed, with surgical incision of 1.5 to 2 cm individually, an average of 12 days in hospitalization, 5 patients with perioperation complication, 6 patients with early operatative complication, and 5 patients with follow - up death. Conclusion Good clinical results can be achieved in the treatment of hemiparalysis complicated with hip fracture using minimally invasive internal fixation, if proper indications are selected.