切开复位加长髓内钉固定治疗股骨转子下骨折  

Open reduction and lengthened intramedullary nail fixation for the treatment of femoral subtrochanteric fracture

作　　者：杨承源 高懋峰[1] 朱若夫[1] 施卫东[1] YANG Cheng-yuan;GAO Mao-feng;ZHU Ruo-fu;SHI Wei-dong(Dept of Orthopaedics,the First Affiliated Hospital of Soochow University,Suzhou,Jiangsu 215006,China)

机构地区：[1]苏州大学附属第一医院骨科,江苏苏州215006

出　　处：《临床骨科杂志》2025年第2期281-283,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨切开复位加长髓内钉固定治疗股骨转子下骨折的疗效。方法采用切开复位加长髓内钉固定治疗34例股骨转子下骨折患者。记录骨折复位情况、术后并发症发生情况以及髋关节功能恢复情况。结果患者均获得随访,时间12~35(15.6±6.8)个月。术后采用Burwell-Charnley标准评价骨折复位情况:良好26例,一般8例。2例切口出现脂肪液化渗出,3例出现骨折延迟愈合。末次随访时采用Harris评分评价髋关节功能恢复情况:优25例,良6例,可3例,优良率91.2%。结论切开复位加长髓内钉固定治疗股骨转子下骨折能够较好地显露骨折端并复位,能够达到坚强固定的效果,可促进骨折愈合及恢复髋关节功能。Objective To investigate the effect of open reduction and lengthened intramedullary nail fixation on femoral subtrochanteric fracture.Methods The 34 patients with femoral subtrochanteric fractures were treated with open reduction and lengthened intramedullary nail fixation.Fracture reduction,postoperative complications and recovery of hip function were recorded.Results All patients were followed up for 12~35(15.6±6.8)months.Burwell-Charnley criteria were used to evaluate the fracture reduction after operation:26 cases were excellent-good,8 cases were fair.Fat liquefaction exudation occurred in 2 cases and delayed fracture healing occurred in 3 cases.At the last follow-up,Harris score was used to evaluate the recovery of hip function:25 cases were excellent,6 cases were good,and 3 cases were fair,with an excellent and good rate of 91.2%.Conclusions Open reduction and lengthened intramedullary nail fixation in the treatment of femoral subtrochanteric fracture can better expose the fracture end and reduce it,and can achieve strong fixation effect,which can promote fracture healing and restore hip joint function.

关 键 词：股骨转子下骨折 侧卧位 加长型髓内钉 内固定 

分 类 号：R683.42[医药卫生—骨科学] R687.32[医药卫生—外科学]