LISS和逆行股骨髓内钉内固定治疗股骨远段骨折  

LISS and retrograde interlocking intramedullary nail internal fixation for distal femoral fracture

作　　者：秦强[1] 殷潇凡[1] 徐俊[1] 吴旭华[1] 

机构地区：[1]上海交通大学瑞金医院集团闵行医院(原上海市闵行区中心医院)骨科,上海201199

出　　处：《临床骨科杂志》2012年第2期168-169,共2页Journal of Clinical Orthopaedics

摘　　要：目的探讨LISS和逆行股骨髓内钉(GSH)内固定治疗股骨远段骨折的临床效果。方法对45例股骨远段骨折患者根据骨折AO/ASIF分型分别采用LISS钢板(25例,A3型、B型C型)和GSH(20例,A1型、A2型)内固定治疗,并对疗效进行分析。结果 45例均获得随访,时间8～20个月。骨折均愈合,其中2例为延迟愈合。2例螺钉退出,未发生感染。结论 LISS钢板和GSH各有优势,根据骨折类型选择适宜的内固定系统,是获得满意骨折复位和膝关节功能良好效果的关键。Objective To explore the effect of LISS and retrograde interlocking intramedullary nail（GSH） internal fixation for distal femoral fracture.Methods 45 cases of distal femoral fractures patients according to AO/ASIF fracture points were treated by internal fixation with LISS（25 cases,A3 type,type B,C） and GSH（20 cases,type A1,A2）,and the curative effect analysis.Results 45 cases were followed up for 8～20 months.All the patients healed,of which 2 got delayed union.2 lag screws were pulled out,but got no infection.Conclusions LISS and GSH have individual advantage,and should be used according to fracture type,and satisfactory fracture union and restoration of knee function can be expected.

关 键 词：股骨骨折 LISS 逆行股骨髓内钉 骨折固定术 内 

分 类 号：R683.42[医药卫生—骨科学] R687.32[医药卫生—外科学]