| 锁定钢板及缆绳联合治疗老年长段粗隆骨折 |
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投稿时间：2012-03-01
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| 期刊信息：《中国骨伤》2012年，第25卷，第7期，第539-541页 |
| DOI：10.3969/j.issn.1003-0034.2012.07.002 |
| 基金项目: |
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中文摘要:
目的：探讨锁定钢板和缆绳治疗老年长段粗隆间骨折的临床疗效。
方法：自2004年6月至2010年6月治疗26例老年长段粗隆间骨折,男16例,女10例;年龄50～65岁,平均(58.23±4.45)岁。车祸伤22例,其中10例合并其他复合伤;坠落伤4例。Evans分型：I型21(顺转子型),其中Ia型8例,Ib型10例,Ic型2例,Id型1例;Hrd型(逆转子型)5例。26例中均采用锁定钢板及缆绳固定治疗,髋关节功能根据Harris评分。
结果：26例均获得随访,时间9～18个月,平均15个月。手术顺利,术后7～14 d下地无负重功能锻炼,6周逐渐负重功能锻炼,12周后逐渐完全负重。髋关节功能Harris评分,疼痛(39.79±6.54)分,功能(31.08±9.45)分,畸形及活动(3.85±0.46)分,总分(77.31±13.97)分;结果优10例,良13例,可3例。
结论：锁定钢板及缆绳适合治疗老年长段涉及粗隆Evans分型的各种类型骨折,尤其是骨质疏松患者取得较好临床效果。 |
| 【关键词】股骨骨折 骨折固定术,内 外科手术 老年人 |
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| Treatment of long unstable femoral intertrochanteric fractures with locking plate and cable rope |
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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 Ia,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±13.97,involving pain 39.79±6.54,function 31.08±9.45,deformity and activity 3.85±0.46. 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. |
| KEY WORDS Femoral fractures Fracture fixation,internal Surgical procedures,operative Aged |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 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 |
| 英文格式: | YANG Yu-bao,KAN Jin-qing,GAO Zhong-li,LI Lin.Treatment of long unstable femoral intertrochanteric fractures with locking plate and cable rope[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(7):539~541 |
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