桥接组合式内固定系统治疗股骨干骨折的临床研究  

Clinical research on treating femoral shaft fracture with bridge-link combined fixation system

作　　者：乔洪旺[1] 董平[1] 岳波[1] 刘丽萍[1] 周永焘[1] 赵得志[1] 姚立杰[2] 刘金煜[1] QIAO Hong-wang(The second affiliated hospital of Qiqihar Medical College, Qiqihar, Heilongjiang, 161006, China)

机构地区：[1]齐齐哈尔医学院附属第二医院,161006 [2]齐齐哈尔医学院基础医学院解剖学教研室,161006

出　　处：《齐齐哈尔医学院学报》2016年第33期4124-4126,共3页Journal of Qiqihar Medical University

基　　金：齐齐哈尔市科技局指令性项目(SFGG-201525)

摘　　要：目的观察桥接组合式内固定系统治疗成年股骨干骨折的疗效。方法回顾性分析62例成年股骨干骨折患者,桥接组(30例)接受桥接系统内固定术,钢板组(32例)接受锁定钢板内固定术治疗,手术由同一组医生完成,比较两组患者的手术时间、术中出血量、骨折愈合时间、并发症发生情况;采用Johner-Wruh评分标准对所有患者随访12个月时的患肢功能情况进行评估。结果桥接组患者手术时间、骨折愈合时间,显著少于钢板组,术中出血量显著低于对照组,差异有统计学意义(P<0.05);桥接组患者优良率显著高于钢板组,差异有统计学意义(P<0.05)。结论桥接组合式内固定系统具有操作简便、内固定物可塑性强、效果好等优点,是股骨干骨折治疗的一种新选择。Objective To observe the therapeutic effect of bridge-link combined internal fixation system in the treatment of adult femoral shaft fractures. Methods Retrospectively study 62 cases of adult femoral shaft fracture in our department. According to the different internal fixation methods,the patients were divided into bridge-link combined internal fixation system group and the locking plate group. The operations were performed by the same group of doctors. The operation time,blood loss,fracture healing time and complications were compared between the two groups. Evaluated the function of the patients in each group by the Johner-Wruh standard.Results Compared with locking plate,the operation time of bridging group was shorter,the bleeding was less,and the healing time of fracture healing was shorter. Postoperative limb function,the excellent and good rate of bridge-link combined internal fixation system group was higher than the locking plate group（ P〈0. 05）. Conclusions The bridge combined fixation system has the advantages： including easily operation,wide indication and satisfactory clinical therapeutic effects,and it is a new choice for treatment of comminuted fracture of shaft of femur.

关 键 词：股骨骨折 桥接组合式内固定系统 锁定钢板 

分 类 号：R683.41[医药卫生—骨科学]