中国骨伤2012，Vol.25Issue(7)：539-541,3.DOI:10.3969/j.issn.1003-0034.2012.07.002
锁定钢板及缆绳联合治疗老年长段粗隆骨折
Treatment of long unstable femoral intertrochanteric fractures with locking plate and cable rope
杨玉宝 1阚金庆 1高忠礼 2李林3
作者信息
- 1. 临沂市人民医院骨一科,山东 临沂276000
- 2. 吉林大学中日联谊医院
- 3. 延边大学附属医院骨科
- 折叠
摘要
Abstract
Objective: To investigate clinical effect of long unstable femoral intertrochanteric fractures with locking plate and cable rope. Methods: From June 2004 to June 2010, twenty-six elderly patients with long unstable femoral intertrochanteric fractures were treated locking plate and cable rope fixation, included 16 males and 10 females with an average age of (58.23?4.45) years ranging from 50 to 65 years. There were 22 cases for traffic accident, 10 of them for traffic accident with other injury; 4 cases for falling injury. According to Evans classification, 21 cases were in type I, among them 8 in type la, 10 in type Ib, 2 in type Ic, 1 in type Id; the other 5 cases were type Hrd. Hip function scores were recorded to evaluate the treatment outcomes by Harris hip function score system. Results: Twenty-six cases were followed-up for 9 to 18 months (means 15 months). The operations were successful. All the patients received functional training for walking without weight loading from 7 to 14 days after operation , and walking gradually in weight loading from 6 weeks after operation, gradually fully weight loading from 12 weeks. The Harris hip function score were 77.31 ?3.97,involving pain 39.79?.54.function 31.08?.45 .deformity and activity 3.85?.46. The clinical results were excellent in 10 cases .good in 13 .fair in 3. Conclusion: Locking plate and cable rope is suiteable for the treatment of senile long femoral intertrochanteric fractures of every Evans type, especially benefit for osteoporosis patients.关键词
股骨骨折/骨折固定术,内/外科手术/老年人Key words
Femoral fractures/Fracture fixation,internal/Surgical procedures,operative/Aged引用本文复制引用
杨玉宝,阚金庆,高忠礼,李林..锁定钢板及缆绳联合治疗老年长段粗隆骨折[J].中国骨伤,2012,25(7):539-541,3.
