钢制和钛制扩髓带锁髓内针治疗股骨干骨折临床分析  

Clinical analysis of treatment for the femoral shaft fracture with steel and titanium reamed intramedullary interlocking nails

作　　者：王磊[1] 王新[1] 周路纲[1] 刘洪智[1] 倪建强[1] 

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院创伤骨科,山东烟台264000

出　　处：《创伤外科杂志》2010年第1期35-37,共3页Journal of Traumatic Surgery

摘　　要：目的比较钢制和钛制扩髓带锁髓内针治疗股骨干骨折的临床效果。方法股骨干新鲜骨折108例,应用钢制扩髓带锁髓内针治疗52例,与钛制扩髓带锁髓内针治疗56例进行对照研究。手术方式及围手术期处理相同。结果钢制扩髓带锁髓内针治疗的52例均在术后4-6个月临床愈合,无延迟愈合或不愈合,6例出现锁定失败,其中2例发生远端锁钉松动;钛制髓内针组延迟愈合12例,不愈合4例,锁定失败10例,其中锁钉松动6例。两组相比具有统计学差异（P〈0.05）。结论正确合理地使用钢制扩髓带锁髓内针治疗新鲜股骨干骨折,可以明显减少锁定失败、骨折延迟愈合、不愈合的发生。Objective To investigate the clinical effect of treatment for the femoral shaft fracture with steel and titanium reamed intramedullary interlocking nails.Methods There were 108 cases of fresh femoral shaft fracture.Totally 52 cases were treated with steel reamed intramedullary interlocking nail,and 56 cases were treated with titanium reamed intramedullary interlocking nail.The operation method and perioperative treatment were the same.Results Clinical healing was observed in 52 cases with steel titanium reamed intramedullary interlocking nails after 4-6months,no delayed union or nonunion.There were 6 cases with nailing failure,2 with distal screw loosening;In the cases with titanium reamed intramedullary interlocking nail,delayed union in 12 cases,nonunion in 4 cases,nailing failure in 10 cases（locking scew loosening in 6 cases）.There was significant statistical difference in the two groups.Conclusion Steel reamed intramedullary interlocking nailing can reduce the rates of nail failure,delayed union and nonunion compared with the titanium reamed intramedullary interlocking nail.

关 键 词：股骨骨折 钢 钛 髓内针 

分 类 号：R683.42[医药卫生—骨科学]