股骨近端锁定钢板治疗老年股骨转子间骨折34傻临床分析

目的探讨股骨近端锁定钢板在老年股骨转子间骨折治疗中的应用价值。方法将68例老年股骨转子间骨折患者随机分为观察组和对照组各34例，观察组采用股骨近端锁定钢板内固定术，对照组采用动力髋螺钉内固定术治疗．比较两组的临床效果。结果观察组优良率为85．29％，对照组优良率为61．76％，两组优良率比较差异有统计学意义（P〈0．05）。观察组的各项手术观察指标均明显优于对照组，两组比较差异有高度统计学意义（P〈0．01）。结论股骨近端锁定钢板内固定具有创伤小、固定牢靠、术后并发症少等优点，值得临床推广。

Clinical analysis of proximal femoral locking plate for treatment of intertrochanteric fracture of femur in the elderly in 34 cases

Objective To investigate the application value of proximal femoral locking plate for intertrochanteric fracture of femur in the elderly.Methods Sixty eight cases of elderly patients with intertrochanteric fracture of femur were randomly divided into the observation group and the control group with 34 cases in each,the observation group was treated with proximal femoral locking plate internal fixation,the control group was treated with dynamic hip screw fixation,clinical effect of two groups were compared.Results In the observation group,the excellent and good rate was 85.29%,compared with that of the control group(61.76%),the excellent and good rate of two groups had significant difference(P < 0.05).The operation indexes of observation group were significantly better than those in the control group,there was significant difference(P < 0.01).Conclusion Proximal femoral locking plate internal fixation with less trauma,reliable fixation,fewer postoperative complications,is worthy of clinical application.