加压钢板和带锁髓内钉在股骨干骨折治疗中的疗效分析  

Analysis on curative effect of internal fixation of femoral shaft fracture: grosse-kempf intramedullary interlocking nail and compression plate

作　　者：李康华[1] 文霆[1] 廖前德[1] 邓展生[1] 张宏其[1] 胡建中[1] 雷光华[1] 

机构地区：[1]中南大学湘雅医院骨科,湖南长沙410008

出　　处：《中国医学工程》2005年第2期193-195,198,共4页China Medical Engineering

摘　　要：目的评价Grosse-Kempf带锁髓内钉(G-K钉)、加压钢板2种不同的内固定方法对股骨干骨折的治疗效果。方法回顾分析2002年7月～2003年6月采用2种内固定方法治疗79例股骨干骨折患者的恢复情况,对骨折愈合时间、优良率和感染率进行了比较和分析。结果随访时间4～25个月。加压钢板治疗的35例患者骨折平均愈合时间为5.6个月,优良率85.8%,感染率为8.6%;G-K钉治疗的44例患者骨折平均愈合时间为4.5个月,优良率95.5%,感染率为2.2%。2组在骨折愈合时间、优良率和感染率上均有统计学差异。结论G-K钉固定更符合生物力学原理,是目前治疗各种类型股骨干骨折的比较理想的内固定方法。To evaluate the efficacy of Grosse-Kempf intramedullary interlocking nail(G-K nail) and compression plate in treatment of femoral shaft fractures. A respective analysis was done on the recovery of 79 cases of femoral shaft fractures with two internal fixation from July 2002 to June 2003. They were followed-up for an average 13 months(ranged 4～25 months).The mean time of fracture union was 5.6 months; the satisfactory rate and infection rate were 85.8% and 8.6%. Those were 4.5 months, 95.5% and 2.2% in the 44 cases of group G-K nail. There were significant deference in statistics. [Conclusion] G-K nail fixation fits to biomechanical principle. It is a good internal fixation method in the treatment of various kinds of femoral shaft fracture at present.

关 键 词：加压钢板 GROSSE-KEMPF带锁髓内钉 疗效分析 骨折治疗 骨折愈合时间 平均愈合时间 内固定方法 2003年6月 2002年7月 股骨干骨折 生物力学原理 统计学差异 感染率 优良率 治疗效果 恢复情况 骨折患者 回顾分析 随访时间 

分 类 号：R683.42[医药卫生—骨科学] R683.05[医药卫生—外科学]