倒置微创内固定系统和经皮加压钢板治疗股骨外侧壁转子间骨折的效果分析

doi:10.3969/j.issn.10073205.2018.11.009

河北医科大学学报

倒置微创内固定系统和经皮加压钢板治疗股骨外侧壁转子间骨折的效果分析

上海市第八人民医院骨科，上海 200235

出版日期:2018-11-25 发布日期:2018-11-21
作者简介:孙平（1977-），男，上海人，上海市第八人民医院主治医师，医学学士，从事骨科疾病诊治研究。
基金资助:
徐汇区医学尖峰高峰高原学科建设（SHXH201702）

Efficacy analysis of 1ess invasive stabilization system and percutaneous compression plate in treatment of intertrochanteric fractures combined with lateral wall fractures#br#

Department of Orthopedics, Shanghai Eighth People′s Hospital, Shanghai 200235, China

Online:2018-11-25 Published:2018-11-21

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗观察倒置微创内固定系统（1ess invasive stabilization system，LISS）和经皮加压钢板（percutaneous compression plate，PCCP）治疗股骨外侧壁转子间骨折的效果及其对髋关节功能的影响。
〖HTH〗方法〖HTSS〗〖KG*2〗选择就诊的股骨外侧壁转子间骨折患者82例，按照随机数字法将患者分为观察组和对照组各42例。观察组给予LISS内固定治疗，对照组给予PCCP内固定治疗。比较2组疗效、手术时间、术中出血量、术中透视次数、完全负重时间、骨折愈合时间、派克帕尔默运动评分和并发症。
〖HTH〗结果〖HTSS〗〖KG*2〗患者均得到随访，随访时间6~24个月，平均（14.37±5.64）个月。观察组优良率为97.62%，明显优于对照组的80.95%（P＜005）。2组手术时间和术中出血量接近（P＞005），而观察组术中透视次数、完全负重时间和骨折愈合时间明显少于或短于对照组（P＜005）。观察组室内活动、室外活动、日常生活自理评分和总分均明显高于对照组（P＜005）。观察组并发症发生率为7.14%（3/42），对照组并发症发生率为11.90%（5/42），其差异无统计学意义（P＞005）。
〖HTH〗结论〖HTSS〗〖KG*2〗LISS治疗股骨外侧壁转子间骨折的效果优于PCCP，创伤小，有利于早期负重锻炼，髋关节功能恢复快，值得临床推广应用。

关键词: 股骨骨折, 内固定器, 经皮加压钢板

Abstract: ［Abstract］ Objective〖HTSS〗〓To observe the efficacy of 1ess invasive stabilization system(LISS) and percutaneous compression plate(PCCP) in treatment of intertrochanteric fractures combined with lateral wall fractures and their impact on hip function.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 82 patients with intertrochanteric fractures associated with lateral wall fractures, were divided into observation group and control group according to the random number method. Each group had 42 cases. Observation group was treated with LISS internal fixation, and control group was treated with PCCP internal fixation. The efficacy, operation time, intraoperative blood loss, intraoperative fluoroscopy time, full load time, fracture healing time, Parkerpalmer mobility score and complication rate were observed after operation.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓All patients were followed up for an average of(14.37±5.64) months from 6 months to 24 months. The excellent and good rate was 97.62% in observation group which was significantly higher than 80.95% in control group(P＜005). There was no significant difference of operation time and intraoperative blood loss between observation group and control group(P＞005), the intraoperative fluoroscopy time, full load time, fracture healing time in observation group were significantly decreased or lower than those in control group(P＜005). The indoor activities score, outdoor activities score, selfcare score and total score in observation group were significantly higher than those in control group(P＜005). The incidence of complications in observation group was 7.14%(3/42), which was no significant difference of 11.90%(5/42) in control group(P＞005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓LISS in treatment of intertrochanteric fractures combined with lateral wall fractures is superior to PCC. It has the advantages of small trauma, early weight training and rapid hip function recovery, it is worthy of clinical application.

Key words: femoral fractures, internal fixators, percutaneous compression plate

孙〓平，高田田，章〓伟，付士平. 倒置微创内固定系统和经皮加压钢板治疗股骨外侧壁转子间骨折的效果分析[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2018.11.009.

SUN Ping， GAO Tiantian， ZHANG Wei， FU Shiping. Efficacy analysis of 1ess invasive stabilization system and percutaneous compression plate in treatment of intertrochanteric fractures combined with lateral wall fractures#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2018.11.009.

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倒置微创内固定系统和经皮加压钢板治疗股骨外侧壁转子间骨折的效果分析

Efficacy analysis of 1ess invasive stabilization system and percutaneous compression plate in treatment of intertrochanteric fractures combined with lateral wall fractures#br#

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