Proximal femur locking compression plate fixation for senile stable intertrochanteric femoral fractures：outcomes and complications
10.3969/j.issn.2095-4344.2015.26.021
- VernacularTitle:股骨近端锁定钢板置入修复老年稳定性股骨转子间骨折：疗效及并发症评估
- Author:
Kanshi WANG
;
Lei ZHAO
;
Chao ZHOU
- Publication Type:Journal Article
- Keywords:
Femoral Fractures;
Surgical Procedures,Minimaly Invasive;
Internal Fixators;
Postoperative Complications
- From:
Chinese Journal of Tissue Engineering Research
2015;(26):4208-4212
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Intertrochanteric femoral fractures are one of the most common fractures in old patients. How to effectively fix has a great chalenge for orthopedic surgeons. No consensus on which fixation method is optimal has been obtained in the academia. OBJECTIVE: To evaluate the clinical therapeutic effects and complications of minimaly invasive percutaneous proximal femur locking compression plate for senile stable intertrochanteric fractures. METHODS:From May 2010 to May 2012, 98 patients (34 males and 64 females) with stable intertrochanteric fractures were treated with minimaly invasive percutaneous proximal femur locking compression plate fixation. The mean age was 76 years (range, 59-93 years). The mean time between fractures and operation was 3 days (range, 1-5 days). Patients were folowed up regularly after treatment. Healing time, Harris score of hip function recovery and the occurrence of complications were evaluated. RESULTS AND CONCLUSION: Al patients were folowed up for 12-24 months. Al incisions obtained healing by first intention. Al fractures reached clinical healing, and the healing time was 12-20 weeks (16 weeks on average). There was no fixation failure and loosing, rotation, crispatura deformity or screw cutting the femoral head. The function of the hip joint was assessed according to the Harris scoring: excelent in 75 cases and good in 18 cases, with the excelent and good rate of 95%. These data verify that proximal femur locking compression plate can be a feasible alternative to the treatment of stable intertrochanteric fractures. The patients obtained satisfactory outcomes, with less complication, indicating that there is a good biocompatibility between the implant and elderly host.
