Structural bone grafting combined with locking compression plate for the treatment ofcomminuted femoral calcar intertrochanteric fractures
10.3969/j.issn.1671-8348.2017.14.016
- VernacularTitle:结构性植骨联合锁定钢板治疗股骨距粉碎性股骨转子间骨折的临床研究
- Author:
Shizhan ZHANG
;
Weiguo ZHANG
;
Jun XU
;
Zhong ZHOU
;
Feng CHEN
;
Xiaofei JIAN
;
Jie HUANG
- Keywords:
fractures;
comminuted;
fracture fixation;
internal;
femur;
intertrochanteric fracture;
bone transplantaion;
proximal femoral locking compression plate
- From:
Chongqing Medicine
2017;46(14):1919-1921
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effects of proximal femoral locking compression plate(PFLCP) combined with iliac structural bone grafting for the treatment of comminuted femoral calcar intertrochanteric fractures.Methods A total of 45 patients with comminuted femoral calcar intertrochanteric fractures were treated with PFLCP combined with iliac structural bone grafting.The hip function was evaluated by Harris hip score system.Results All patients were followed up from 8 to 34 months(average 16 months) in the outpatient department.All cases healed without complications of non-union,reduction lost,varus deformity of the hip,losening,breakage or cut-out of the internal fixation,femoral head necrosis and shortening of the limbs.According to Harris hip score,there were 29 excellent cases,11 good cases,4 fair cases and 1 poor case,with excellent and good rate of 88.9%.Conclusion Reconstruction of the comminuted or defected femoral calcar with the iliac structural bone grafting can enhance the internal fixation and promote the bone healing.Combined with PFLCP fixation it is an effective method for treatment of comminuted femoral calcar intertrochanteric fractures.
