股骨转子下骨折髓内钉固定术后骨不连的危险因素及治疗方法研究进展  

Risk factors and treatment methods of nonunion after intramedullary nailing of subtrochanteric femoral fractures:a review

作　　者：李鹏飞[1] 贾健[1] 马信龙[1] Li Pengfei;Jia Jian;Ma Xinlong(Department of Trauma Orthopedics,Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津市天津医院创伤骨科,天津300211

出　　处：《中华创伤杂志》2024年第7期654-659,共6页Chinese Journal of Trauma

摘　　要：股骨转子下骨折因其解剖及生物力学的特殊性,骨折复位及固定困难。髓内钉固定是其治疗的“金标准”,但术后骨不连是其常见并发症,会造成肢体疼痛和活动能力下降,需二次手术治疗,对患者的生活质量产生极大影响。目前,髓内钉固定术后骨不连危险因素的研究较多,但相关性较强的危险因素仍不明确,后续治疗方案多样且未统一,进一步明确危险因素亦有助于治疗方案的选择。为此,笔者就股骨转子下骨折髓内钉固定术后骨不连危险因素及治疗方法的研究进展进行综述,为临床治疗提供参考。The surgical reduction and fixation of subtrochanteric femoral fractures are challenging due to its particular anatomical and biomechanical characteristics.Intramedullary nailing is the golden standard for its treatment,but postoperative bone nonunion is a common complication,resulting in limb pain and decreased mobility,which requires a second operation and greatly affects the patients′life quality.At present,there are many studies on the risk factors of bone nonunion after intramedullary nail fixation,but the risk factors with strong correlation remain unclear and the subsequent treatment plans are diverse,without consensus.Further identification of risk factors can help to select treatment plans.To this end,the authors reviewed the research progress in the risk factors and treatment methods of bone nonunion after intramedullary nailing of subtrochanteric femoral fractures to provide references for its clinical treatment.

关 键 词：股骨骨折 骨折固定术 髓内 骨折 不愈合 危险因素 

分 类 号：R687.3[医药卫生—骨科学]