AO锁定加压接骨板在股骨下份长节段粉碎性骨折中的应用

摘要

Objective To probe into the use of locking compression plate( LCP )of AO type to treat long-segmented and comminuted subtrochanteric fracture. Methods 38 patients with long-segmented and comminuted subtrochanteric fractures were fixed internally with locking compression plate of AO type in first stage from Nov 2003 to Oct2009 .Results All patients have been followed up within 9~24 months after operation, all of fractures have healed up in this time, the average healing time is 5.13 months, the embedded appliances have not loosened or ruptured. The rate to meliorate knee joint function : 13 patients were best, 15 patients were better, 8 patients were not bad, 2 patients were bad. The excellence rate was 73.68%. Conclusions LCP of AO type is simple to operate, reliable to fix, less wounded, low complications, wide applic-ability.etc.therefore it is fit for popularizing in wide-range hospitals.%目的 探讨AO新型锁定加压接骨板又称锁定内固定支架(Locking compression plate,LCP)在股骨下份长节段粉碎性骨折中的应用.方法 2003年11月～2009年10月,收治股骨下份长节段粉碎性骨折38例,采用AO新型锁定加压接骨板(LCP)进行内固定一期植骨治疗.结果 所有病例随访9～24个月,骨折均在随访期内愈合,平均愈合时间为5.13个月,无植入物松动、断裂.改良膝关节功能评分:优13例,良15例,可8例,差2例,优良率73.68％.结论AO锁定加压接骨板(LCP)治疗股骨下份长节段粉碎性骨折具有操作简单、固定可靠、愈合率高,并发症少,适应症广等优点,适合推广.