小切口磁力导航髓内钉治疗股骨干粉碎性骨折  

Treatment of Femoral Shaft Comminuted Fractures with Limited Open Reduction and Intramedullary Nail with Magnetic Navigation

作　　者：袁正兵[1] 纪军[1] 李江[1] 罗燕云[1] YUAN Zheng- bing JI Jun LI Jiang(Department of orthopaedics, Dongguan Qiaotou hospital, Dongguan Guangdong, 52352)

机构地区：[1]广东省东莞市桥头医院骨科,广东东莞523520

出　　处：《中国伤残医学》2017年第19期2-4,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨小切口磁力导航髓内钉治疗股骨干粉碎性骨折的疗效.方法：对2013年8月～2015年6月的65例股骨干粉碎性骨折患者应用小切口切开复位、磁力导航髓内钉治疗.结果：所有病例均获随诊,时间12～36个月,平均23个月.术中股骨远端锁钉1次锁定成功率96.9％,平均耗时6分钟,平均手术时间70分钟,全部骨性愈合,愈合时间3～9个月,平均5个月.术后膝关节功能Hohl评分：优60例,良2例,中2例,差1例,优良率95.4％.结论：小切口磁力导航髓内钉治疗股骨干粉碎性骨折时远端锁钉1次锁定成功率高,操作方便,术后疗效确切,创伤和并发症少,是治疗股骨干粉碎性骨折的一种较好方法.Objective： To exlore the clinical effect of femoral shaft comminuted fractures treated with limited open reduction and intr- medullary nail with magnetic navigation. Methods： A total of 65 cases with femoral shaft comminuted fractures were selected from August 2013 to June 2015 ,which were treated with limited open reduction and intramedullary nail with magnetic navigation. Results： The 65 pa- tients were followed up for 12 to 36 months with a mean of 23 months. The one - time successful rate of the distal nails locking was 96. 9% , the locking time averaged 6 minutes, the operation time averaged 70 minutes. Follow - up examination showed that osseous healing was achieved in 3 to 9 months （mean, 5 months）. According to the Hohl scoring system, the excellent was 60 cases, the good was 2 ca- ses, the acceptable was 2 case and the poor was 1 cases, the excellent and good rate was 95.4%. Conclusion： Limited open reduction combining the intramedullary nail with magnetic navigation is an effctve way for the treatment of femoral shaft comminuted fracture, that has the advantages of accurate position, excellent function, less trauma and less compictations.

关 键 词：股骨干骨折 小切口切开复位 髓内钉 磁力导航 

分 类 号：R683.42[医药卫生—骨科学]