股骨重建钉治疗复杂性股骨骨折  

Femoral reconstruction interlocking nail in treating complex femoral fractures

作　　者：韩铭[1] 王式鲁[1] 蔡余力[1] 刘自文 

机构地区：[1]山东中医药大学附属医院骨科,山东济南250011 [2]宁阳县第二人民医院骨科

出　　处：《中国骨伤》2006年第2期70-72,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的：探讨股骨重建钉治疗股骨复杂性骨折的临床疗效。方法：复杂性股骨骨折患者28例，男20例，女8例；年龄31～79岁，平均46岁。闭合性骨折24例，开放性骨折4例。采用Austofix股骨重建钉固定，股骨颈保持15。前倾角置入拉力螺钉，用三维瞄准器锁定远折端。结果：28例均获随访，随访时间5～27个月，平均11．7个月。按马元璋评定标准，优14例，良10例，可4例，未发生股骨头坏死等并发症。结论：股骨重建钉是目前治疗复杂性股骨骨折的有效方法。Objective： To explore the clinical outcome of interlocking nail used for femoral reconstruction in treating complex fractures of femoral neck and shaft. Methods： Twenty-eight patients（20 male and 8 female with average age of 46 years ranging from 31 to 79 years） with complex fractures of femoral neck and shaft were recruited. Of all 28 patients 24 patients suffered from closed fractures and other 4 patients had open fractures. All patients were treated by Austofix femoral reconstruction with interlocking nail. Two lag screws were inserted into femoral neck at 15-degree anteversion angle. The distal end of fracture were locked by an implement of three-dimensional aim. Results：All patients were followed up for 5 to 27 months（average 11.7 montha）. According to MA Yuan-zhang evaluation, the result were excellent in 14 causes, good in 10 cases and fair in 4 cases. There were no necrosis of femoral head happened in all patients. Conclusions： Reconstuction with interlocking nail is a principal way in treating complex fracture of femoral neck and shaft.

关 键 词：股骨骨折 骨折固定术 外科手术 股骨重建钉 

分 类 号：R683.42[医药卫生—骨科学]