髓内固定治疗转子间骨折的柔和复位技巧  

Intramedullary Fixation for the Treatment of Intertrochanteric Fracture Reposition Techniques

作　　者：储彬 汤健[1] 李光宇[1] 周剑[1] 卢晓林[1] CHU Bin;TANG Jian;LI Guang-yu;ZHOU Jian;LU Xiao-lin(Department of Orthopedics,the First Affiliated Hospital of Anhui Medical University,Hefei 230032,Anhui,China)

机构地区：[1]安徽医科大学第一附属医院创伤骨科,安徽合肥230032

出　　处：《医学信息》2018年第1期4-7,共4页Journal of Medical Information

基　　金：安徽省科技攻关项目资助(编号:1301042096)

摘　　要：目的探讨髓内固定治疗股骨转子间骨折的柔和复位技巧,以实现满意复位,为临床提供参考。方法自2015年7月~2017年7月对152例股骨转子间骨折患者行髓内钉治疗,以探讨股骨转子间骨折的柔和复位技巧,其中87例采用牵引床闭合复位,对于单纯闭合复位未能完成良好复位的,采用克氏针/"金手指"/骨钩/点状复位钳/主钉/"分段预置钉道"等方法辅助复位。结果 67例获得解剖复位,85例获得可接受复位,术后随访6~12 y,骨折均愈合。结论根据骨折的类型和术中状况,运用各种柔和的复位技巧尽可能实现满意复位可减少相关并发症的发生,从而获得更好的疗效。Objective To explore the soft reduction technique of intramedullary fixation in the treatment of intertrochanteric fractures in order to achieve satisfactory reduction and provide a reference for clinical practice.Methods 152 patients with femoral intertrochanteric fractures were treated with intramedullary nailing to explore the soft reposition techniques of intervertebral intertrochanteric fractures from July 2015 to July 2017.Among them,87 patients were treated with traction bed closure and closed reposition.For simple closed reduction fails to complete the good reduction,using Kirschner wire/"gold finger bone"/hook/point/main/nail clamp"section preset screw"method.Results 67 cases of assisted reduction to obtain anatomic reduction,85 cases obtained acceptable reduction,postoperative follow-up of 6~12 months,all fractures healing.Conclusion According to the type and status of fracture in the use of various soft reduction techniques as much as possible to achieve satisfactory reduction can reduce the complications,in order to obtain better curative effect.

关 键 词：股骨转子间骨折 髓内钉 复位技巧 

分 类 号：R683.42[医药卫生—骨科学]