股骨锁定加压钢板（LCP）在儿童股骨转子下骨折中的应用

摘要

Objetive To study the clinical effect of the femoral locking compression plate (LCP)in children femoral subtrochanteric fracture. Methods 22 cases of femoral subtrochanteric fracture in children diagnosed in our hospital from February 201 0 to December 201 2 were analyzed retrospectively,including 1 6 ca-ses of male,6 cases of female,with an average age of 8.5.Results All of the 22 cases received follow-ups ranging from 6 to 48 months (27 months in average);osseous healing was found in all these 22 cases of frac-ture,without broken nails,nail,loose steel plate,broken board or coax vara,articular dyskinesia,etc. Con-clusion Application of femoral locking compression plate (LCP)for children femoral subtrochanteric fractures can effectively improve the deficiencies of the traditional conservative treatments including traction,k-wire,ti-tanium elastic nail fixation and other therapies,and can achieve a better effect through early functional exercise to reduce joint rigidity.%目的：探讨股骨锁定加压钢板（LCP）对儿童股骨转子下骨折的临床疗效。方法回顾性分析本院2010年2月至2012年12月收治的22例股骨转子下骨折患儿临床资料，其中男16例，女6例，平均年龄8．5岁。结果22例均获得随访，随访时间6～48个月，平均27个月，22例均骨性愈合，无断钉、脱钉、钢板松动、断板及髋内翻、关节活动障碍等并发症发生。结论股骨锁定加压钢板（LCP）对于儿童股骨转子下骨折可以有效改善传统保守牵引、克式针、弹性髓内钉固定及其他治疗方法的不足，可早期进行功能锻炼，减少关节僵直，效果良好。