摘要
目的:探讨股骨近端锁定钢板微侵入经皮钢板置入技术治疗老年股骨粗隆间EvansⅢ、Ⅳ型骨折的疗效。方法:自2007年12月至2010年4月共收治老年股骨粗隆间骨折23例,其中男11例,女12例;年龄62～90岁,平均72.8岁。骨折按Evans分型:Ⅲ型13例,Ⅳ型10例。所有患者行股骨近端锁定钢板微侵入经皮钢板置入技术治疗。根据Harris髋关节功能评分标准评定疗效。结果:23例手术时间45～60min,平均50min;术中出血量60～100ml,平均80ml。全部患者获随访,时间9～18个月,平均11个月。X线骨折愈合时间3～6个月,平均4个月。根据髋关节评分标准:优18例,良5例。结论:对于老年EvansⅢ、Ⅳ型股骨粗隆间骨折,股骨近端锁定钢板微侵入经皮钢板置入技术手术创伤小、固定可靠,具有良好的临床应用前景。
Objective ：To study therapeutic effects of minimally invasive percutaneous plate osteosynthesis for the treat- ment of intertrochanteric femoral fractures of Evans Ⅲ, Ⅳ in elderly patients. Methods：From December 2007 to April 2010,23 patients with intertrochanteric femoral fractures were reviewed. Among the patients, 11 patients were male and 12 patients were female,ranging in age from 62 to 90 years,with a mean of 72.8 years. According to Evans classification, 13 patients were type Ⅲ and 10 patients were type Ⅳ. All the patients were treated with proximal femoral locking plate （minimally invasive percutaneous plate osteosynthesis, MIPPO） surgery. Results： The operative time ranged from 45 to 60 min, with an average of 50 min. The blood loss ranged from 60 to 100 ml,averaged 80 ml. All the patients were followed up,and the duration ranged from 9 to 18 months, with an average of 11 months. The healing time based X-ray ranged from 3 to 6 months, with an average of 4 months. According to hip scoring criteria evaluation： 18 patients got an excellent results, 5 good. Conclusion：For the treatment of intertrochanteric femoral fractures of Evans Ⅲ, Ⅳ in elderly patients, MIPPO has advantages such as small trauma, reliable fixation, which has good clinical application.
出处
《中国骨伤》
CAS
2012年第7期554-556,共3页
China Journal of Orthopaedics and Traumatology
关键词
股骨骨折
老年人
骨折固定术
内
Femoral fractures
Aged
Fracture fixation,internal
