逆行交锁髓内钉治疗股骨远端粉碎移位骨折  

Retrograde interlocking intramedullary nailing for displaced , comminuted fractures of distal end of the femur

作　　者：宋忆非[1] 姜其为[1] 周之德[1] 

机构地区：[1]上海第二医科大学附属新华医院骨科,200092

出　　处：《中华创伤杂志》2000年第5期271-272,共2页Chinese Journal of Trauma

摘　　要：目的　总结临床采用逆行交锁髓内钉技术治疗股骨远端移位粉碎性骨折的经验。　方法　 1998年 2月～ 1999年 2月治疗股骨远端骨折 9例 ,平均年龄 5 1.4(33～ 83)岁。均在C形臂X线透视机下切开复位 ,行逆行交锁髓内钉内固定术。　结果　 9例手术均获得成功 ,骨折端复位良好 ,内固定稳固。经使用CPM锻炼 1周半以后 ,均能无负重主动屈膝活动 90°以上。 2～ 3个月以后 ,8例可以扶拐下地 ,患肢部分负重。　结论　采用逆行交锁髓内钉内固定术治疗股骨远侧AO ASIF分类的A、C1、C2型骨折具有较好疗效 。Objective To report practical experience in treatment of displaced, comminuted fracture of the distal femur. Methods From Feb.1998 to Feb.1999, 9 patients of average age of 51.4 years old (33-83 years) with displaced, comminuted fracture of distal femur were treated by open reduction and internal fixation with retrograde intramedullary interlocking nailing. Results All patients were operated successfully with an anatomical reduction of the distal femoral fracture and stable internal fixation. After exercising about 10 days with continuous passive moving, they could flex knee over 90°. Eight cases could walk with crutches and load weight partly. Conclusions Retrograde intramedullary interlocking nailing is suitable for treating most femoral distal fractures.

关 键 词：股骨骨折 骨折固定术 粉碎性骨折 交锁髓内钉 

分 类 号：R687.3[医药卫生—骨科学]