摘要
目的探讨带锁髓内钉固定治疗复杂性股骨干骨折的方法与疗效。方法从1999年6月至2004年7月,32例复杂性股骨干骨折病人采用有限切开复位,带锁髓内钉固定,同时采用同种异体骨植骨。结果28例获1.5～3年(平均19个月)的随访。按照马元璋评分标准,优良率达89.3%,一期骨折愈合率达92.9%,平均愈合时间为17周,无相关并发症。结论利用带锁髓内钉固定治疗复杂性股骨干骨折,有限切开复位,尽可能不剥离或少剥离骨膜,能有效恢复股骨形态,是治疗股骨复杂性骨折较为理想的方法。
Objective To explore the methods and curative effect of interlockingintramedullary nail for treating complex femoral shaft fracture. Methods From June 1999 to July2004, 32cases with complex femoral shaft fracture were treated with only a limited open reduction,Interlocking intramedullary nail fLxation and allogenic transplantation of bone. Results 28 cases werefollowed up for 1.5-3 years （averaged 19 months）. According to the Ma＇s score standard, the excellentand good rates were 89.3%, the union by first intention rate was 92.9%, the average bone union timewas 17 weeks. No correlated postoperative complications were found. Conclusion Interlockingintramedullary nail is an ideal therapeutics method for complex femoral shaft fracture. Limited openreduction and no or minimal stripping periosteum should be emphasized during operation.
出处
《岭南现代临床外科》
2006年第2期145-146,共2页
Lingnan Modern Clinics in Surgery
关键词
复杂性股骨干骨折
带锁髓内钉
Complex femoral shaft fracture
Interlocking intramedullary nail
