影响股骨带锁髓内钉远端锁钉1次性准确置入的因素及对策  

Alements and Methods Maked Femoral Inter Locking Intramedullary Nail Could Precisely Implanted

作　　者：杨克敏[1] 李勇刚[1] 李光全[1] 高薇[1] 

机构地区：[1]云南省第二人民医院骨科,云南昆明650021

出　　处：《中国伤残医学》2015年第11期2-4,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨影响股骨带锁髓内钉远端锁钉1次性准确置入的因素及对策。方法：2011年6月～2012年10月，应用带锁髓内钉治疗股骨干骨折28例，切开复位置入髓内钉28例，闭合复位置入髓内钉0例；顺行扩髓置入髓内钉18例，逆行扩髓置入髓内钉10例；主钉置入完成后，应用C型臂X线机检查正位像定位杆置入孔与主钉定位杆平台是否重叠。结果：定位杆孔与主钉定位杆平台重叠3例，不进行定位杆矫正；不重叠25例，矫正定位杆位置，在定位杆孔与主钉定位杆平台重叠位下置入定位杆，远端锁钉1次性准确锁入27例，失败1例，为主钉置入后，主钉与定位系统联接杆断裂，采用徒手锁钉。结论：应用C型臂X线透视下，矫正定位杆置入简单有效．具有实用价值。Objective： Discussing the elements and methods which make temoral inter locking intramedullary nail could precisely implanted. Methods： From June, 2011 to October, 2012, applied inter lock nails to cure 28 cases femoral shaft fractures,28 cases were ac- cepted open reductive operation to implant inter locking nails, 0 cases were accepted closed reduction operation to implant inter locking nails. 18 cases were used anterograde reamed placed intramedullary nails, 10 cases were used retrograde reamed placed intramedullary nails. Using C - arm X - ray machine to take anteroposterior picture to test whether implanted hole of positioning rod and positioning rod platform of main nail over lapped. Result ： 3 cases implanted hole of positioning rod and positioning rod platform of main nail overlapped, with no need for adjust ; 25 cases not overlapped, adjusted the position of positioning rod , implanted positioning rod on the overlap posi- tion , in which 27 cases precisely implanted distal femoral nail. lcase failed , which was main nail and positioning system coupling rod fractured after main nail implanted, then implanted nail unarmed. Conclusion ： The method of examining of C - arm X - ray to adjust po- sitioning rod is simple and effective, and with practical value.

关 键 词：股骨干骨折 带锁髓内钉 

分 类 号：R683.42[医药卫生—骨科学]