锁定加压钢板治疗骨质疏松性骨折的疗效分析
周毅;李兴海;张心宇;苏博;祝静波;陈玉楼;王云琦;
摘要(Abstract):
[目的]探讨应用锁定加压钢板(locking compression plate,LCP)治疗骨质疏松性骨折的临床疗效。[方法]2007年6月~2009年12月应用锁定加压钢板(LCP)治疗老年骨质疏松性骨折58例,有效随访53例;男15例,女38例,年龄64~86岁,平均72.1岁;骨折均为不慎滑倒低能量微创伤所致,符合骨质疏松性骨折的诊断。骨折采用闭合或切开的方式复位,使用锁定加压钢板(LCP)进行内固定手术治疗。[结果]本组53例获得随防,随访时间12~18个月,平均14.6个月。骨折愈合时间3~5个月,平均3.6个月;髋、肩和腕关节功能的优良率分别为84.6%,81.3%和81.8%;无骨折不愈合,无钢板螺钉断裂等并发症;随访中出现3例再发骨折病例。[结论]锁定接骨板通过角稳定作用对骨折端进行稳定,在骨质疏松性骨折的内固定治疗中具有优势,可以提高治疗骨质疏松性骨折疗效;评估骨质疏松性骨折后再骨折的风险,积极药物干预对预防再骨折的发生具有积极意义。
关键词(KeyWords): 锁定加压钢板;骨质疏松性骨折;骨折内固定术
基金项目(Foundation):
作者(Author): 周毅;李兴海;张心宇;苏博;祝静波;陈玉楼;王云琦;
Email:
DOI:
参考文献(References):
- [1]Pedro C,Enrique GG,Daniel HV.Interventions to improve inpa-tient osteoporosis management following first osteoporotic fracture:the PREVENT project[J].Arch Orthop Trauma Surg,2009,129:245-250.
- [2]黄海晶,庞贵根,张铁良,等.锁定钢板治疗复杂肱骨近端骨折的临床分析[J].中国矫形外科杂志,2008,18:1364-1366.
- [3]Niemeyer P,Sükamp NP.Principles and clinical application of thelocking compression plate[J].Acta Chir Orthop Traumatol Cech,2006,73:221-228.
- [4]Drosdowech DS,Faber KJ,Athwal GS.Open reduction and internalfixation of proximal humerus fractures[J].Orthop Clin North(Am),2008,4:429-439.
- [5]Center JR,Bliuc D,Nguyen TV,et al.Risk of subsequent fractureafter low-trauma fracture in men and women[J].JAMA,2007,297:387-394.
- [6]Holder KK,Kerey SS.Alendronate for fracture prevention in postm-enopause[J].Am Fam Physician,2008,78:579-581.
- [7]Kanis JA,McCloskey EV,Johansson H,et al.Case finding for themanagement of osteoporosis with FRAX-assessment and interventionthresholds for the UK[J].Osteoporosis Int,2008,19:1395-1408.