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带锁髓内钉治疗股骨干粉碎骨折的临床应用

Clinical Study of Treatment of Femoral Stem Shattered Fracture with Intramedullary Interlocking Nail
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摘要 目的 探讨带锁髓内钉治疗股骨干粉碎骨折的方法和疗效。方法 采用小切口切开复位 ,带锁髓内钉内固定治疗股骨干粉碎骨折 5 5例。结果 术后随访 7~ 2 8个月 ,平均 15个月 ,所有病例骨折术后复位及固定良好 ,4个月时骨折临床愈合率达 98% ,最终骨折全部愈合 ,平均愈合时间 3 5~ 6个月。无感染及主钉断裂。结论 带锁髓内钉内固定是治疗股骨干粉碎骨折的一种有效术式 ,能更好的使骨折复位 ,折端加压 ,预防旋转 ,加速骨折愈合。 Objective To study the method and effect of the treatment of femoral stem shattered fracture with intramedullary interlocking nail.Methods 55 cases of femoral stem shattered fracture were treated by intramedullary interlocking nail. Results All cases following up for 7~28 months, the average time is 15 months. All cases were repositioned anatomically and fixed satisfactory after operation.The clinical cure rate within 4 months is 98%, all cases were cured at last ,the average cure time is 3.5~6 months without any infection and fracture of main nail. Conclusions Internal fixation of intramedullary interlocking nail is an effective operation method to improve the healing of the femoral stem shattered fracture, it can make fracture repositioned satisfactory and forced on break sides and prevented from rotation.
作者 蒋政
出处 《锦州医学院学报》 2005年第1期35-37,共3页 Journal of Jinzhou Medical College
关键词 带锁髓内钉 股骨干粉碎骨折 骨折内固定 intramedullary interlocking nail femur stem shatterd fracture internal fixation
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