股骨近端锁定接骨板治疗老年股骨粗隆间骨折32例疗效观察

摘要

目的 探讨股骨近端锁定接骨板治疗老年股骨粗隆间骨折的临床疗效.方法 采用切开复位股骨近端锁定接骨板内固定治疗老年股骨粗隆间骨折32例,并观察其临床效果.结果 32例患者随访9-14个月,骨折全部愈合,采用Kuderna评分进行评估:优28例,良3例,可1例,优良率96.9%.结论 股骨近端锁定接骨板治疗老年股骨粗隆间骨折符合生物力学的要求,操作简便,创伤少,固定牢靠,并发症少,骨折愈合率高,具有推广应用的价值.%Objective To evaluate the clinical effects in the treatmeat of senile femoral intertrochanteric fracture with locking proximal femoral bone plate. Methods 32 patients with senile femoral intertrochanteric fracture were treated operatively with locking proximal femoral bone plate. Results 32 patients were followed up for 9～14 months. All fractures healed. According to Kuderna criterion, the results of 28 excellent cases, 3 good cases and 1 fair ease were obtained. The excellent and good rate function was 96.9%. Conclusions Locking proximal femoral bone plate in fixation of senile femoral intertro-chanteric fracture is accord with the demands of biomechanics, with simple operation, little invasive injury, stable fixation, few complications and satisfactory bone union rate. It is a sidle and useful fixation device.