与股骨逆行髓内钉相关的股骨解剖学测量的研究进展  

Advancements in the Anatomical Measurement of the Femur Pertaining to Retrograde Intramedullary Nail Techniques

作　　者：王学宇 冯卫[1] 薛飞[1] 

机构地区：[1]内蒙古医科大学第二附属医院创伤中心A区,内蒙古 呼和浩特

出　　处：《临床个性化医学》2024年第4期2707-2718,共12页Journal of Clinical Personalized Medicine

基　　金：股骨干中下部逆行髓内钉数字化设计与研究(2023GGZ138)。

摘　　要：目的:阐述与股骨逆行髓内钉相关的股骨解剖学参数的研究进展。方法:广泛查阅近年国内外相关文献并结合基础研究及临床相关经验,总结分析与股骨逆行髓内钉密切相关的几个重要解剖参数的临床意义及相关测量结果和测量手段等。结果:目前临床常用的髓内钉大多数仍为参照国外人体解剖参数而设计的,而国人股骨解剖参数与西方人种确实存在差异。同时发现股骨长度、股骨标准冠失状面的确定及股骨曲度的相关研究等对股骨逆行髓内针的设计有着决定性的影响。结论:在股骨远端骨折的治疗中,股骨逆行髓内钉有着不可替代的作用,有必要设计一款新型股骨逆行髓内钉使其更符合国人特点。Objective: This study aims to review the advancements in research concerning femoral anatomical parameters pertinent to retrograde intramedullary nails. Methods: Through a comprehensive examination of recent literature both domestically and internationally, alongside foundational research and clinical experience, we summarized and analyzed the clinical significance of several key anatomical parameters closely associated with femoral retrograde intramedullary nails, as well as relevant measurement outcomes and methodologies. Results: Currently, the most commonly utilized intramedullary nails in clinical practice are still designed based on foreign human anatomical parameters;however, it is evident that the anatomical characteristics of the Chinese femur differ significantly from those of Western populations. Furthermore, findings indicate that factors such as femoral length, standard coronary deformity assessment of the femur, and investigations into femoral curvature exert a critical influence on the design of retrograde intramedullary nails for the femur. Conclusion: Retrograde intramedullary nail fixation plays an indispensable role in managing distal femoral fractures. Therefore, there is a pressing need to develop new designs for retrograd

关 键 词：股骨远端 解剖参数 逆行髓内钉 

分 类 号：R68[医药卫生—骨科学]