重庆医学2017，Vol.46Issue(14)：1919-1921,3.DOI:10.3969/j.issn.1671-8348.2017.14.016
结构性植骨联合锁定钢板治疗股骨距粉碎性股骨转子间骨折的临床研究
Structural bone grafting combined with locking compression plate for the treatment ofcomminuted femoral calcar intertrochanteric fractures
张施展 1张卫国 1徐钧 1周忠 1陈丰 1简小飞 1黄杰1
作者信息
- 1. 华中科技大学同济医学院附属武汉中心医院骨科 430014
- 折叠
摘要
Abstract
Objective To evaluate the clinical effects of proximal femoral locking compression plate(PFLCP) combined with iliac structural bone grafting for the treatment of comminuted femoral calcar intertrochanteric fractures.Methods A total of 45 patients with comminuted femoral calcar intertrochanteric fractures were treated with PFLCP combined with iliac structural bone grafting.The hip function was evaluated by Harris hip score system.Results All patients were followed up from 8 to 34 months(average 16 months) in the outpatient department.All cases healed without complications of non-union,reduction lost,varus deformity of the hip,losening,breakage or cut-out of the internal fixation,femoral head necrosis and shortening of the limbs.According to Harris hip score,there were 29 excellent cases,11 good cases,4 fair cases and 1 poor case,with excellent and good rate of 88.9%.Conclusion Reconstruction of the comminuted or defected femoral calcar with the iliac structural bone grafting can enhance the internal fixation and promote the bone healing.Combined with PFLCP fixation it is an effective method for treatment of comminuted femoral calcar intertrochanteric fractures.关键词
骨折,粉碎性/骨折固定术,内/股骨/转子间骨折/骨移植/股骨近端锁定钢板Key words
fractures/comminuted/fracture fixation/internal/femur/intertrochanteric fracture/bone transplantaion/proximal femoral locking compression plate分类
医药卫生引用本文复制引用
张施展,张卫国,徐钧,周忠,陈丰,简小飞,黄杰..结构性植骨联合锁定钢板治疗股骨距粉碎性股骨转子间骨折的临床研究[J].重庆医学,2017,46(14):1919-1921,3.
