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find Keyword "股骨近端锁定钢板" 4 results
  • 股骨近端锁定钢板治疗股骨转子间骨折

    目的 总结股骨近端锁定钢板(proximal femur locking plate,PFLP)微创治疗股骨转子间骨折的疗效。 方法 2007 年5 月- 2008 年10 月,采用PFLP 微创治疗股骨转子间骨折24 例,并与同期采用动力髋螺钉(dynamic hip screw,DHS)治疗的32 例股骨转子间骨折患者临床疗效进行比较。两组患者年龄、性别、致伤原因、骨折分型(AO 分型)、骨质量Singh 分级、受伤至入院时间等一般资料比较差异均无统计学意义(P gt; 0.05),具有可比性。 结果 术后2 组患者切口均Ⅰ期愈合。PFLP 组患者均获随访,随访时间12 ~ 14 个月,平均12.6 个月。患者骨折均解剖复位,达骨性愈合。DHS 组30 例获随访,随访时间12 ~ 20 个月,平均13.5 个月。除3 例于术后1 个月发现未达解剖复位外,其余患者骨折均解剖复位,达骨性愈合。PFLP 组切口长度、手术时间、术中失血量、术后负重时间均优于DHS 组(P lt; 0.05),骨折愈合时间两组比较差异无统计学意义(P gt; 0.05)。 结论 PFLP 是治疗股骨转子间骨折一种适宜选择,相比DHS 具有手术创伤小、手术时间短、并发症少等优点。

    Release date:2016-08-31 05:42 Export PDF Favorites Scan
  • 股骨近端锁定钢板治疗老年股骨转子间骨折

    目的 总结股骨近端锁定钢板在治疗老年股骨转子间骨折的手术经验及成功率。 方法 对2008年1月-2009年3月收治的57例老年股骨转子间骨折患者,行切开复位股骨近端锁定钢板内固定治疗。 结果 在Evans分型1~5型中手术成功率为100%,优良率为98.2%。 结论 股骨近端锁定钢板适用于老年股骨转子间骨折的各种类型。

    Release date:2016-09-08 09:47 Export PDF Favorites Scan
  • Comparison of the Therapeutic Effect of Intramedullary Fixation and Medullary External Fixation on Evans-Jensen Type Ⅲ Intertrochanteric Fracture

    ObjectiveTo compare the therapeutic effect between intramedullary fixation and external fixation on intertrochanteric fracture. MethodsBetween June 2005 and June 2011, 32 patients with Evans-Jensen type Ⅲ intertrochanteric fracture were treated with proximal femoral nail anti-rotation (PFNA), Gamma nail, dynamic hip screw plate (DHS) or locking compression plate (LCP), separately. The operation duration, peri-operative bleeding, load time, Harris hip score and postoperative complications were observed in the patients, and were used to analyze the therapeutic effect among the four methods. ResultsShorter operation duration, less bleeding in the surgery, smaller quantity of drainage after the operation (P<0.05) were found in group Gamma and group PFNA compared with those in group DHS and LCP. The duration of hospitalization didn't differ much between the two fixation systems (P>0.05). The difference in operation duration, operative bleeding and post-operative drainage between group Gamma and PFNA, and between group DHS and LCP was not significant (P>0.05). ConclusionThe intramedullary fixation was better than external fixation for Evans-Jensen type Ⅲ intertrochanteric fracture.

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  • Contrast between the Curative Effect of Proximal Femoral Nail Antirotation and Locking Proximal Femoral Plate for Femoral Intertrochanteric Fracture in Senile Patients

    ObjectiveTo compare the clinical effect of proximal femoral nail antirotation (PFNA) and locking proximal femoral plate (LPFP) for femoral intertrochanteric fracture in elderly patients. MethodsWe respectively analyzed the clinical data of 116 senile patients with femoral intertrochanteric fracture treated between October 2008 and March 2014. Among them, 60 were treated with PFNA, and 56 were treated with LPFP. We compared the two groups of patients in terms of operating time, surgical blood loss, surgical complications, walking exercise time, fracture healing time and joint function recovery. ResultsA total of 115 patients had regular follow-up from 12 to 24 months (averaging 15.7 months). One patient died. The operating time was (83.26±14.81) minutes in PFNA group and (102.58±15.31) minutes in LPFP group. The surgical blood loss was (202.16±33.14) mL in PFNA group and (255.80±45.92) mL in LPFP group. The walking exercise time was (1.80±0.91) weeks in PFNA group and (3.48±3.03) weeks in LPFP group. The fracture healing time was (11.80±2.26) weeks in PFNA group and (12.14±2.21) weeks in LPFP group. The postoperative Harris score for hip joint was 84.56±9.55 in PFNA group and 82.47±9.22 in LPFP group. There were statistical differences in operating time, surgical blood loss and walking exercise time (P<0.05), while no statistical differences were found in fracture healing time and postoperative Harris score for hip joint (P>0.05). ConclusionPFNA and LPFP are effective methods for femoral intertrochanteric fracture in elderly people, but PFNA has a shorter operating time, less surgical blood loss and earlier walking exercise time.

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