经膝关节逆行穿钉治疗股骨干骨折  

Treatment of femoral shaft fractures with retrograde intramedullary nailing through knee joint

作　　者：李连亭[1] 

机构地区：[1]山东省菏泽市立医院骨科,274031

出　　处：《中华创伤骨科杂志》2004年第3期354-355,共2页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨经膝关节逆行穿钉治疗股骨干骨折适应证及手术方法,丰富股骨干骨折的治疗手段。方法12例病人均在能透视的普通手术台进行,膝关节屈曲30°～40°于髌韧带内侧缘做5cm的切口,经股骨髁间窝逆行穿入带锁钉。闭合复位7例,开放复位5例。结果经平均1年的随访,所有病人均骨性愈合,膝关节功能良好。结论经膝关节逆行穿钉治疗股骨骨折是可行的,具有操作简单,固定牢固,能早期进行膝关节功能锻炼等特点,早期对膝关节功能无影响,但远期影响有待长期随访。Objective To explore the indication and the procedure of operative treatment for femoral shaft fractures with retrograde intramedullary nailing through knee joint. Methods In the 12 cases of femoral shaft fracture, a 5cm incision inside the patella ligament was made under radioscopy, with the knee flexing to 30°to 40°, and the interlocking nail was inserted reversely through femoral intercondylar. Open reduction was done in 5 cases to correct dislocation, and closed reduction in 7 cases. Results All the cases were followed up for an average of one year. Their fractures healed, and their function of the knee joint recovered well. Conclusions The interlocking nail inserted reversely through the knee joint is a feasible therapy to treat femoral shaft fractures. It is simple, and provides rigid fixation and early functional exercises to recover the knee joint. It does not affect the knee joint function in a short term, but its long term effects still need further follow up.

关 键 词：股骨干骨折 膝关节 带锁钉 适应证 手术方法 内固定 

分 类 号：R687.3[医药卫生—骨科学]