| 倒置LISS钢板结合钢缆内固定治疗股骨粗隆下SeinsheimerⅤ型骨折 |
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Received:October 09, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 宋肖舟 |
SONG Xiao-zhou |
舟山市人民医院骨科, 浙江 舟山 316000 |
Department of Orthopaedics, Zhoushan People's Hospital, Zhoushan 316000, Zhejiang, China |
songxiaozhouls@126.com |
| 陈位 |
CHEN Wei |
舟山市人民医院骨科, 浙江 舟山 316000 |
Department of Orthopaedics, Zhoushan People's Hospital, Zhoushan 316000, Zhejiang, China |
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| 郑杰 |
ZHENG Jie |
舟山市人民医院骨科, 浙江 舟山 316000 |
Department of Orthopaedics, Zhoushan People's Hospital, Zhoushan 316000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2014年27卷，第8期，第697-699页 |
| DOI：10.3969/j.issn.1003-0034.2014.08.019 |
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目的：探讨倒置LISS（less invasive stabilization system，LISS）钢板结合钢缆内固定治疗股骨粗隆下SeinsheimerⅤ型骨折的临床疗效。
方法：2009年1月至2012年1月收治11例股骨粗隆下粉碎性骨折患者， 其中男8例，女3例；年龄35~61岁，平均51岁。受伤原因：车祸伤8例，高处坠落伤3例。经X线证实为SeinsheimerⅤ型股骨粗隆下骨折，采用LISS钢板结合钢缆进行治疗，并按Merle d'Aubigne髋关节功能评分系统对患侧髋关 节的治疗效果进行评分。
结果：11例均获随访，时间12~28个月，平均16个月。全部病例获得骨性愈合，平均愈合时间3.8个月（3~4.3个月）.未发生深部感染、下肢深静脉血栓、肺栓塞、骨不连等并发症。按d'Aubigne髋关 节功能评分系统评分，优7例，良4例。
结论：倒置LISS钢板结合钢缆内固定治疗股骨粗隆下Seinsheimer Ⅴ型骨折疗效满意，可为骨折端提供稳定的固定，为治疗该骨折提供了一种理想的内固定选择方式。 |
| [关键词]:股骨骨折 骨折固定术,内 髋关节 |
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| Treatment of Seinsheimer typeⅤsubtrochanteric femoral fractures with inversive LISS plate combined with steel wire |
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Abstract:
Objective: To study clinical effects of inversive LISS (less invasive stabilization system,LISS)plate combined with steel wire for the treatment of Seinsheimer type Ⅴ subtrochanteric femoral fractures.
Methods: From January 2009 to Janurary 2012,11 patients with Seinsheimer type Ⅴ subtrochanteric femoral fractures were treated with inversive LISS plate combined with steel wire,including 8 males and 3 females,ranging in age from 35 to 61 years old (averaged,51 years old). Causes of injury:8 patients caused by accident and 3 patients caused by falling down. According to X-ray examination,all the patients were type Ⅴ subtrochanteric femoral fractures and were treated with LISS plate combined with steel wire. Merle d'Aubigne scores were used to evaluate therapeutic effects on hip.
Results: The mean period of follow-up was 16 months (ranged,12 to 28 months). All the patients obtained bone union for average 3.8 months (ranged from 3 to 4.3 months). There were no complications such as deep infection,deep vein thrombosis,pulmonary embolism and bone nonunion. According to Merle d'Aubigne scores,7 patients got an excellent result and 4 good.
Conclusion: Inversive LISS plate combined with steel wire for the treatment of Seinsheimer type Ⅴ subtrochanteric femoral fractures is satisfactory,which can provide stable fixation for fracture end and provide an ideal internal fixation method for treatment of this kind of fractures in the future. |
| KEYWORDS:Femoral fractures Fracture fixation,internal Hip joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 宋肖舟,陈位,郑杰.倒置LISS钢板结合钢缆内固定治疗股骨粗隆下SeinsheimerⅤ型骨折[J].中国骨伤,2014,27(8):697~699 |
| 英文格式: | SONG Xiao-zhou,CHEN Wei,ZHENG Jie.Treatment of Seinsheimer typeⅤsubtrochanteric femoral fractures with inversive LISS plate combined with steel wire[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(8):697~699 |
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