锁定解剖钢板内固定治疗股骨转子间骨折

目的探讨锁定解剖钢板内固定治疗股骨转子间骨折的临床疗效。方法应用有限切开锁定解剖钢板内固定治疗股骨转子间骨折56例。结果 56例均获随访,时间3～24个月。全部骨性愈合,愈合时间3～6个月。有2例发生髋内翻,无骨不连、内固定断裂等并发症发生。结论锁定解剖钢板治疗股骨转子间骨折切口小,手术时间短,出血量少,术后可早期功能锻炼,并发症少,尤其适用于老年骨质疏松患者。

Treatment of trochanteric fractures with proximal femoral locking plates

Objective To investigate the clinical and radiographic results of proximal femoral locking plates （PFLPs） for a minimally invasive method of treating intertrochanteric hip fi＇actures. Methods A total of 56 patients with intertrochanteric hip fractures were treated by limited open reduction and fixation with PFLPs. Results All the cases were followed up for 3 -24 months and they all got bony union in 3 -6 months. Coxa vara was found in 2 cases. No infection, pseudoarthrosis or implant failure was recorded. Conclusions PFLPs for intertrochanterie fractures is benifieial for earlier functional exercise, shortening operating times,diminishing operating wound,less blood loss and little postoperative complications. It is espeeially of benefit to the old man with severe osteoporosis.