对侧股骨远端锁定加压钢板固定粗隆下骨折

Roel Langshong, B. Punithavasanthan, Pheiroijam Bhupes, S. Singh, Rajkumar Debbarma, P. S. Prashanth, P. rai, Shams Gulrez, Dilip Soring, Temjen sunep
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引用次数: 0

摘要

导读:股骨粗隆下骨折的内固定有不同的植入物,但由于解剖学和生物力学的原因,股骨粗隆下骨折的内固定仍然是骨科医生面临的一个挑战。目的:本研究的目的是评估对侧股骨远端锁定加压钢板早期治疗股骨粗隆下骨折的效果。方法:选取30例患者作为研究对象。AO 32B型骨折16例(53.3%),AO 32A型9例(30%),AO 32C型5例(16.6%)。道路交通事故占21例(70%)。平均随访11±6个月(6 ~ 19个月)。27例骨折愈合(90%),平均愈合时间14.5周,愈合时间从10周到20周不等。3例(10%)出现并发症。1例患者钢板断裂,1例患者螺钉断裂,骨折不愈合。随访结束时,29例患者(96.6%)使用社区救护车。结论:对侧股骨远端锁定加压钢板与PF-LCP一样有效,如果操作得当,是转子下骨折的有效替代治疗方法。
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Fixation of Subtrochantric Fractures Using Distal Femoral Locking Compression Plate of Contralateral Side
Introduction: Different implants are available to internally fix subtrochantric fracture of femur, due to anatomical & biomechanical reasons, the sub-trochanteric femoral fracture still a challenge for Orthopaedic Surgeons Objective: The purpose of this study was to evaluate the outcome in early treatment of subtrochanteric fractures of femur with distal femoral locking compression plate of contralateral side. Methods: Thirty patients were included in this study. Sixteen patients (53.3%) had AO type 32B fracture, while nine patients (30%) and five patients (16.6%) were classified as AO type 32A and 32C respectively. Road traffic accidents accounted for 21 patients (70%). Mean follow-ups were 11 ±6 months (range 6 to 19 months). 27 fractures (90%) achieved union, average union time in 14.5 weeks Ranging from 10 weeks to 20 weeks. while three patients (10%) had complications. In one patient the plate had broken, one had broken screw and nonunion of the fracture. At the end of the follow-ups, 29 patients (96.6%) were community ambulators.The Modified Harris hip score (MMHS) was used to evaluate the functional outcome of surgery Conclusion: We conclude that distal femoral locking compression plate of contra lateral side is as effective as PF-LCP and is an effective alternative treatment for subtrochanteric fractures when properly performed.
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