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首页> 外文期刊>Journal of Dhaka Medical College >Evaluation of the Outcome of Proximal Femoral Locking Compression Plate for the Treatment of Comminuted Trochanteric and Subtrochanteric Femoral Fractures in Lateral Decubitus Approach without Peroperative Image Intensifier
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Evaluation of the Outcome of Proximal Femoral Locking Compression Plate for the Treatment of Comminuted Trochanteric and Subtrochanteric Femoral Fractures in Lateral Decubitus Approach without Peroperative Image Intensifier

机译：股骨近端锁骨加压钢板治疗股骨粗隆和股骨粗隆下粉碎性骨折的临床研究

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Introduction: The Comminuted trochanteric and subtrochanteric femoral fractures are considered as one of the most difficult fractures to treat in the orthopaedic surgery and they associated with high incidence of nonunion, malunion. Various implants, both intramedullary and extramedullary, are available for their fixation.Objective: To assess the success rate of proximal femoral locking compression plate osteosynthesis in comminuted trochanteric and subtrochanteric femoral fracture in lateral decubitus approach without per operative image intensifier.Method: 20 consecutive patients with comminuted Trochanteric and subtrochanteric fractures were operated upon with PF-LCP. Detailed clinical conditions of all patients, duration of operation, technical difficulty with the implant, hospital stay period were recorded. Patients were visited at 6 weeks interval till union then 3 monthly. The Harris Hip Score was used to document hip function at final follow-up.Result: There were fifteen excellent (75%), two good (10%), two fair (10%) and one poor (5%) results according to Harris hip score. No instance of implant failure was recorded.Conclusion: Fixation of comminuted subtrochanteric fractures with PF-LCP in lateral decubitus approach without per operative image intensifier provides stable fixation with high union rate and fewer complications.J Dhaka Medical College, Vol. 23, No.2, October, 2014, Page 179-185
机译：简介：股骨转子粗隆和转子粗隆粉碎性骨折被认为是整形外科手术中最难治疗的骨折之一，它们与骨不连，畸形畸形的高发生率相关。方法：连续20例患者，采用不带手术增强器的方法，评估经侧卧位粉碎性股骨转子和股骨转子下粉碎性股骨骨折中股骨近端锁定加压钢板接骨的成功率。 PF-LCP手术治疗股骨转子和粉碎性股骨转子粉碎性骨折。记录所有患者的详细临床情况，手术时间，植入物的技术难度，住院时间。每隔6周对患者进行一次随访，直至合并，然后每月3次。根据最终随访结果，使用Harris髋关节评分记录髋关节功能。结果：根据结果，有15例优良（75％），2例良好（10％），2例良好（10％）和1例不良（5％）结果哈里斯臀部得分。结论：PF-LCP可以在不进行手术的情况下通过侧卧位入路行未加图像增强器固定的股骨转子下粉碎性骨折，可提供稳定的固定，高愈合率和更少的并发症。JDhaka Medical College，Vol。 2014年10月2日23日，第179-185页

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