| 引用本文： |
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毕刚,欧毅,黄祖成,等.股骨髁锁定钢板逆行固定治疗股骨粗隆下骨折[J].同济大学学报（医学版）,2011,32(3):63-66. [点击复制]
- BI Gang,OU Yi,HUANG Zu-cheng,et al.Surgical treatment of subtrochanteric femoral fractures with retrograde locking plate of femoral condyle[J].Journal of Tongji University(Medical Science),2011,32(3):63-66. [点击复制]
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| 摘要: |
| 目的 探讨应用股骨髁锁定钢板逆行固定治疗股骨粗隆下骨折的临床疗效，分析临床应用股骨髁锁定钢板治疗股骨粗隆下骨折的可行性。方法 自2007年3月—2009年12月，我科共应用股骨髁钛舍金锁定钢板逆行固定治疗股骨粗隆下骨折20例。按Seinsheimer分型，本组病例中ⅡB型1例，ⅡC型3例，ⅢA型3例，ⅢB型3例，Ⅳ型6例，V型4例。结果 所有患者的切口均获I/甲愈合，并且所有患者均能在康复医师的指导下进行早期的髋关节功能锻炼，住院期间未出现感染、褥疮、深静脉血栓、内固定松动，断裂等并发症。所有患者均获至少一次的随访，时间从10个月到24个月不等，平均（16．2±6．6）个月。患者的预后根据髋关节Harris评分进行评估，其中优9例；良7例、可4例；差0例。优良率为80％。结论 应用股骨髁锁定钢板逆行固定治疗股骨粗隆下骨折，可使股骨粗隆部达到坚强固定的效果，并可使髋关节进行早期功能锻炼，且能有效减少长期卧床并发症的发生，达到较理想的临床疗效，适合临床使用。 |
| 关键词: 股骨髁锁定铜板 股骨粗隆下骨折 内固定 |
| DOI：10.3969/j.issn1008-0392.2011.03.015 |
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| Surgical treatment of subtrochanteric femoral fractures with retrograde locking plate of femoral condyle |
| BI Gang1,OU Yi1,HUANG Zu-cheng1,YANG Qing-cheng2,MEI Jiong1 |
| (1.Dept.of Orthopaedics Surgery,Tongji Hospital,Tongji University,Shanghai 200065,China;2.Dept.of Orthopaedics Surgery,Sixth People’s Hospital,Shanghai Jiaotong University,Shanghai 200233,China) |
| Abstract: |
| Objective To evaluate the therapeutic effect of retrograde locking plate of femoral condyle in treatment of subtrochanteric femoral fractures and to analyze the feasibility of the clinical application of the retrograde locking plate of femoral condyle in the treatment of the subtrochanteric femoral fractures.Methods Twenty patients with subtrochanteric femoral fractures were treated with retrograde locking plate of femoral condyle from Mar.2007 to Dec.2009.According to the Seinsheimer classification system,1 case was in typeⅡB,3 cases in typeⅡC,typeⅢA and typeⅢB respectively,6 cases in typeⅣand 4 cases in typeⅤ.Results All incisions were healed by first intention and all cases did early rehabilitation exercises in hip joint,with the guidance of physical therapist.No complications occurred during hospitalization,including infections,decubital ulcer,deep vein thrombus,internal fixation loosening or breakage.Patients were followed-up for 10 to 24 months, mean(16.2±6.6)months.According to the Harris scoring system,the outcome of patients was excellent in 9 cases,good in 7 cases,fair in 4 cases with the excellent and good rate of 80%and no cases was classified as poor.Conclusion The retrograde locking plate of femoral condyle can provide rigid fixation in subtrochanteric femoral fractures,which enables early rehabilitation with less complication.It is an ideal method in treating subtrochanteric femoral fractures. |
| Key words: locking plate of femoral condyle subtrochanteric femoral fracture internal fixation |
