带锁髓内钉治疗股骨干骨折适时动力化的临床研究  

Clinic Research of Timely Dynamic Fixation by Interlocking Intramedullary Nailing for Femoral Shaft Fractures

作　　者：文朝[1] 方楚权 古安武 赖征文 严瑾[1] 刘庆思[2] 孙之镐[3] 

机构地区：[1]深圳市龙岗区横岗人民医院,广东深圳518115 [2]广州中医药大学 [3]湖南中医药大学

出　　处：《中国中医骨伤科杂志》2012年第3期18-19,共2页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察带锁髓内钉治疗股骨干骨折适时动力化的疗效。方法:将70例股骨干骨折患者随机分为治疗组和对照组,2组均采用小切口复位带锁髓内钉固定。治疗组于4～6周采用适时动力化固定,对照组完全采取静力固定。结果:随访40周,骨折对位情况治疗组与对照组无差异。骨折愈合时间,功能恢复情况治疗组均优于对照组。结论:采用带锁髓内钉治疗股骨干骨折适时动力化的方法,有利于伤肢功能恢复,并减少骨折迟缓愈合、不愈合的发生。Objective：To observe the clinic effect of timely dynamic fixation by interlocking intramedullary nailing for femoral shaft fracture.Method：All of 70 patients with femoral shaft fractures were randomly divided into two groups： the treatment group（35 patients） and the control group（35 patients）.Each patient was reset openly and fixated by interlocking intramedullary nail.Patients in the treatment group were treated with dynamic intramedullary interlocking nail at the 4 to 6 weeks;patients in the control group were statically fixed with intramedullary interlocking nail during the whole treatment session.Results：At the 40 weeks of follow-up,there was no significant difference in the fracture location between the two groups.Patients in the treatment group were better in the fracture-healing time and function rehabilitation than that in the control group.Conclusion：The clinic application of timely dynamic fixation by interlocking intramedullary nailing for femoral shaft fracture was in favor of the function rehabilitation of injured limbs,and it could reduce the rate of delayed union and nonunion of fractures.

关 键 词：股骨骨折 交锁髓内钉 适时动力化固定 静力固定 

分 类 号：R683.42[医药卫生—骨科学]