摘要
本文报告采用角钢板内固定治疗股骨粗隆间骨折８７例，无１例死亡。随访６个月～６年，有８３例骨折愈合，其中７４例股骨颈干角恢复正常；有９例颈干角小于对侧，其中有２例小于１２０°。８３例中７６例恢复正常行走，另７例则需借助拐杖或他人搀扶。另４例钢板穿破股骨头进入髋臼，其中２例骨折于内翻位畸形愈合，２例骨折未愈合者经再次手术后基本恢复正常。作者认为对于股骨粗隆间骨折应于复位后采取积极的内固定治疗，而无论应用何种内固定器械，骨折的良好整复以及内固定后骨折稳定性的满意维持将始终是获得手术成功的最重要因素。使包括股骨小粗隆在内的后内侧骨皮质达到满意的整复并予以坚固固定尤为关键，而老年性骨质疏松则是导致内固定手术失败的主要因素之一。
The results were retrospectively analysis of 87 patients with intertrochanteric fractures of the femur treated with an angle blade-plate as recommended by the AO group.No patients died within the acute phase.The patients were interviewed at a followup period of 6 months to 6 years,Eighty three fractures healed;of which,the neck-shaft angle was normal in 74 and decreased in nine compared with contralateral hip including two with the angle below 120°.Seventy six patients achieved satisfactory walking,and seven had to walk on cruthes or with support by other people.In remaining four patients,the femoral head was penetrated by the blade,leading to two non-union and two malunion with varus angulation.For treatment of intertrochanteric fractures of the femur,internal fixation is advocated,Regardless of the fixation device selected,fracture and stability are the most important factors in successful surgery.Reduction and fixation of the fragment of the posteromedial cortex including the lesser trochanter is the essential procedure of choice.Senile osteoporosis in hip will increase the risk of fail of surgery.
出处
《中国矫形外科杂志》
CAS
CSCD
1996年第4期245-246,共2页
Orthopedic Journal of China
