摘要
目的:探讨锁定加压钢板(LCP)用于老年股骨粗隆间骨折内固定的疗效。方法:89例老年股骨粗隆间骨折患者分为三组,37例采用锁定加压钢板(LCP)治疗,29例采用Gamma钉内固定,23例采用动力髋螺钉(DHS)固定。比较三组平均手术时间、骨折愈合时间、出血量等指标,并观察术后关节功能的恢复情况。结果:LCP组的手术时间、出血量、骨折愈合时间都显著小于其他两组,并发症发生率最低,Harris髋关节评分最高。结论:三种内固定方法各有特点,锁定加压钢板(LCP)损伤小、愈合快、并发症少,是最佳的治疗方式。
Objective： To study the therapeutic effect of locking compression plate（LCP） for intertrochanteric femoral fractures in the elderly patients.Method： 89 inter-trochanter femoral fracture patients were assigned to three groups.37 patients were treated with LCP,29 patients were treated with Gamma nail and 23 patients were treated with DHS.The average operation time,the fracture healing time,the postoperative complications and the hip function of the three groups were compared.Result： Compared with patients in Gamma nail group and DHS group,LCP group had the least average operation time,fracture healing time and postoperative complications（P0.05）.Besides,the functional evaluation of hip joint was statistical significance（P0.01）.Conclusion： Different fixation had its own feature,LCP was the best way of marrow internal fixation in curing inter-trochanter fracture,for features of small surgical trauma,quick fracture healing,few complication and good recovery of joint function.
出处
《河北医学》
CAS
2012年第11期1549-1552,共4页
Hebei Medicine
关键词
锁定加压钢板
股骨粗隆间骨折
伽马钉
动力髋螺钉
Locking compression plate
Inter-trochanter fracture
Gamma nail
Dynamic hip screw plates
