摘要
目的 采用股骨重建髓内钉治疗股骨粗隆间新鲜骨折。方法 在 1999年 10月至 2 0 0 1年 4月共收治新鲜的股骨粗隆间骨折 2 0例 ,其中 Evan′s 、 型骨折 10例。术前常规行股骨上端 CT检查 ,了解骨折具体情况后均行手术开放复位 ,以 Russell- Taylor股骨重建髓内钉静力固定。结果 本组所有患者均获得随访 ,并且均按期愈合。 1例 型骨折出现轻度髋关节内翻 ,髋关节外展轻度受限 ;1例术前即存在患侧股骨头无菌性坏死 ,术后患侧髋关节功能完全恢复至术前水平。其余病例均无髋内翻 ,股骨颈颈干角正常 ,骨折对位对线良好。结论 a)对股骨粗隆间骨折的治疗 ,Russell- Taylor股骨重建髓内钉静力固定符合生物力学 ,尤其对临床棘手的 Evan′s 、 型骨折有独特的优势 ;b)对明显骨质疏松的患者 ,应用 Russell-
Objective This article reported the effect of the application of reconstruction femoral interlocking nail on the intertrochanteric femoral fracture.Methods Twenty cases of the traumatic fractures were treated with the nail.The fractures were classified according to Evan′s:the type Ⅰ?Ⅱ 10 cases, type Ⅲ?Ⅳ 10 cases.Results 20 cases were followed-up, there were no severe complications, such as the infection and breakage, The patients could exercise and began the early weight bearing, the function was good, except 1 case suffered mild coxa vara after operation.Conslusion The reconstruction femoral interlocking nail is the best way for the treatment of the intertrochanteric femoral fracture, espescily for the type Ⅲ?Ⅳ cases, as the reconstruction femoral interlocking nail according with the femoral biomechanics.However, it should be careful of the cases with severe osteoporosis.
出处
《实用骨科杂志》
2004年第2期122-124,共3页
Journal of Practical Orthopaedics
