交锁髓内钉治疗股骨干骨折骨不连合并膝关节僵硬  

Treatment with intramedullary supracondylar nail of delayed union and nonunion of femoral shaft fracture combined with stiff knee joint

作　　者：段洪斌[1] 景元海 

机构地区：[1]吉林大学中日联谊医院骨科,吉林长春130021 [2]黑龙江省大庆市龙南医院骨科,黑龙江大庆163453

出　　处：《吉林医学》2004年第12期28-29,共2页Jilin Medical Journal

摘　　要：目的:介绍用交锁髓内钉治疗股骨干骨折骨不连合并膝关节僵硬的方法与疗效。方法:对18例股骨干骨折骨不连合并膝关节僵硬患者采用手术松解粘连、交锁髓内钉固定、植骨治疗,术后早期应用CPM机锻炼。结果:18例均随访6～24个月,肢体无畸形,骨折均达骨性愈合,平均愈合时间8.5个月。膝关节功能按Kolmert评定标准优良率94.4%。结论:应用交锁髓内钉治疗股骨干骨折骨不连合并膝关节僵硬,操作简便,固定牢靠,骨折愈合快,关节功能恢复好,是首选的治疗方法。Objective To introduce clinical application and effects of treatment with intramedullary supracondylar nail of delayed union and nonunion of femoral shaft fracture combined with stiff knee joint. Method 18 cases were treated with intramedullary supracondylar nail and operative relaxation with knee joints stiffness were done. All cases accepted CPM exercise as early as possible after operation. Results All cases were followed up for 6 to 24 months. No limb deformity was found, all cases were healed well with the average healing time 8.5 months. According to the Kolmert scale, the good and excellent rate of the function of knee joint was up to 94.4%. Conclusion The use of Treatment with intramedullary supracondylar nail of delayed union and nonunion of femoral shaft fracture combined with stiff knee joint has the advantage of simple performance, solid fixation, and fracture is healed up fast. The function of the arthrosis resumed well, so that it becomes a more effective therapy.

关 键 词：股骨骨折 骨不连 交锁髓内钉 关节僵硬 

分 类 号：R687.3[医药卫生—骨科学]