解剖型髋动力带锁钢板治疗老年股骨粗隆间骨折

doi:10.3969/j.issn.1009-976X.2014.04.028

岭南现代临床外科 ›› 2014, Vol. 14 ›› Issue (04): 452-455.DOI: 10.3969/j.issn.1009-976X.2014.04.028

解剖型髋动力带锁钢板治疗老年股骨粗隆间骨折

林镇荣吴盛荣

广东汕头潮南民生医院骨科

Clinical effect of anatomical dynamic hip lock plate, on treatment of intertrochanteric fractures in the elderly

Lin Zhenrong, Wu Shengrong

Received:2014-07-01 Revised:2014-07-08 Online:2014-08-20 Published:2014-08-20

摘要/Abstract

摘要： 【摘要】〓目的〓探讨解剖型髋动力带锁钢板治疗老年股骨粗隆间骨折的疗效。方法〓我院2010年2月~2012年9月收治的124例股骨粗隆间骨折老年患者作为研究对象,其中70例使用解剖型髋动力带锁钢板进行治疗(A组),54例使用动力髋螺钉固定进行治疗(B组),比较两组患者骨折愈合率、愈合时间、手术治疗优良率及术后并发症情况。结果〓A组骨折愈合率为98.57%,略高于B组,但差异不具有统计学意义(P>0.05);A组骨折愈合时间短于B组、手术治疗优良率高于B组、术后并发症情况少于B组,差异具有统计学意义(P<0.01)。结论〓解剖型髋动力带锁钢板能有效治疗老年股骨粗隆间骨折,并且骨折愈合率、手术治疗优良率均高于动力髋螺钉固定治疗法。

关键词: 解剖型髋动力带锁钢板, 空心锁定螺钉, 股骨粗隆间骨折

Abstract: 【Abstract】〓Objective〓To investigate the efficacy of using the anatomical dynamic hip lock plate (ADHLP) to treat the intertrochanteric fractures. Methods〓From February 2010 to September 2012, 124 elderly patients with intertrochanteric fractures were enrolled. Among them, 70 patients were performed the treatment of ADHLP(group A),.54 cases underwent dynamic hip screw fixation (group B)..The rate of fracture healing,.healing time,.excellent rate of surgical treatment and postoperative complications between two groups were compared and statistically analyzed. Results〓The healing rate in group A was 98.57%, which was slightly higher than the group B, but the difference was not statistically significant(P>0.05). Healing time in group A was shorter than in the group B, and the excellent rate of group A was higher than that of the group B (P<0.01). Conclusion〓The ADHLP is effective in treating elderly intertrochanteric fractures, and the healing rate, excellent rate of which were higher than the dynamic hip screw fixation method.

Key words: Anatomical dynamic hip lock plate, Hollow locking screw, Intertrochanteric fracture

中图分类号:

R683.4

林镇荣吴盛荣. 解剖型髋动力带锁钢板治疗老年股骨粗隆间骨折[J]. 岭南现代临床外科, 2014, 14(04): 452-455.

Lin Zhenrong, Wu Shengrong. Clinical effect of anatomical dynamic hip lock plate, on treatment of intertrochanteric fractures in the elderly[J]. Lingnan Modern Clinics in Surgery, 2014, 14(04): 452-455.

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解剖型髋动力带锁钢板治疗老年股骨粗隆间骨折

Clinical effect of anatomical dynamic hip lock plate, on treatment of intertrochanteric fractures in the elderly

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