股骨重建髓内钉内固定治疗股骨干多节段骨折合并髋部骨折  

Femoral reconstruction intramedullary nail in treatment of femur segment fractures combined with hip fracture

作　　者：张纯[1] 姚聪[1] 贺西京[1] 李浩鹏[1] 王国毓[1] 

机构地区：[1]西安交通大学医学院第二附属医院骨二科,陕西省西安市710004

出　　处：《中国骨与关节损伤杂志》2014年第4期333-334,共2页Chinese Journal of Bone and Joint Injury

基　　金：陕西省社发攻关课题(2009K18-01)

摘　　要：目的探讨小切口复位股骨重建髓内钉内固定治疗股骨干多节段骨折合并同侧髋部骨折的疗效。方法对54例股骨干多节段骨折合并同侧髋部骨折行小切口复位骨折段及粉碎的股骨干，然后采用股骨重建髓内钉内固定。股骨干骨折合并股骨颈骨折37例，股骨干骨折合并股骨粗隆间骨折17例。结果54例均获得3～6个月的随访，平均4个月。骨折均一期愈合，发生髋内翻1例，股骨头切割2例。末次随访时髋关节功能Harris评分平均（92．22±2．17）分。结论小切口复位股骨干骨折同时采用股骨重建髓内钉内固定治疗股骨干骨折合并同侧股骨颈或股骨粗隆间骨折，具有手术时间短、出血少且固定牢靠等优点，是预防髋内翻发生和促进骨折愈合的有效术式。Objective To investigate the effects of the minimally invasive femoral reconstruction intramedullary nail fixation for femoral segment fractures combined with ipsilateral hip fracture. Methods The minimally invasive femoral reconstruction intramedullary nailing for femoral segment fractures with hip fracture was per[ormed [n 54 eases, including femoral shaft fractures with femoral neck fracture in 37 eases, 17 cases combined with femoral intertroehanteric fracture. Results All of 54 eases were followed-up from 3-6 months. All the fractures healed. Hip varus occurred in one ease and femoral head cutting in two cases. At the last follow-up, the Harris hip score was （92.22±2.17）points on average. Conclusion The minimally invasive femoral segment fractures simultaneous reconstruction intramedullary nailing for femoral shaft with ipsilateral hip fracture, with shorter operative time, less bleeding and fixed firmly, is an effective method of prevention eoxa vara.

关 键 词：股骨干骨折 股骨颈骨折 股骨粗隆间骨折 股骨重建髓内钉 内固定 

分 类 号：R687.3[医药卫生—骨科学]