交锁髓内钉治疗股骨干骨折(附45例报告)  

Treatment of femoral shaft fractures with inter locking intramedullary nail

作　　者：宫岩虎[1] 卢廷胜[1] 付廷友 张伟[1] 黄睿[1] 

机构地区：[1]解放军第401医院骨科,山东青岛266071

出　　处：《中国矫形外科杂志》2005年第2期109-112,共4页Orthopedic Journal of China

摘　　要：目的: 探讨使用交锁髓内钉治疗股骨干骨折的应用、手术方式选择及疗效。方法: 对使用交锁髓内钉治疗 45例 (48肢) 股骨干骨折的疗效进行回顾性分析。手术采用闭合、小切口或有限切开复位, 用三维瞄准器锁定骨折远、近端。结果: 48例患者平均随访 13. 5个月, 肢体、关节功能恢复优良率 91. 1%(41 /45), 一期骨折愈合率 89. 6% (43 /48 )。平均骨临床愈合时间 6. 8个月。感染率 2. 1% ( 1 /45 )。1例髓内钉断裂。结论: 交锁髓内钉是目前治疗股骨干骨折的首选方法, 术中应常规静力固定, 不剥离或少剥离骨膜, 不强求解剖复位, 尽量闭合复位、有限扩髓。Objective:To explore the optimal operation manners of interlocking intramedullary nail in treating femoral shaft fractures and its therapeutic effects.Method: Forty five cases (48 limbs) of femoral shaft fractures treated with inter locking intramedullary nail were reviewed.The diaplasis of the fracture was close or open with only a little incision, and the two sides of the fracture were locked with nails by a tris dimension aim implement.Result: All cases were followed up (averaged 13.5 months).91.1 percent of all cases showed excellent function of joints and limbs, and 89.6 percent showed union of fracture (averaged 6.8 months).Infections were found in 1 case (2.1 percent) and nail broken in 1 case (2.1 percent) too.Conclusion: Inter locking intramedullary nail is the first choice in treating femoral shaft fractures.Static locking should be a routine way, and closed reduction, limited enlarging marrows cavity and no or minimal stripping periosteum should be emphasized in the operation of femoral shaft fractures.

关 键 词：股骨干骨折 交锁髓内钉 静力固定 闭合复位 有限扩髓 

分 类 号：R687.3[医药卫生—骨科学]