摘要
应用交锁髓内钉(G—K钉)治疗股骨、胫骨骨折30例,术后3个月以上随访者均有大量骨痴形成及骨性愈合,关节功能恢复优良率达92.5%,与同期类似病例钢板内固定组(20例)进行比较,G—K钉股骨愈合时间为3.1±0_8个月,胫骨愈合时间为3.5±1.2个月;钢板愈合时间股骨4.2个月,胫骨5.3个月。G—K钉治疗具有操作简单,切口小,损伤出血小,达到髓腔内夹板作用,骨膜干扰小,骨折固定力臂长等优点。作者还在术式上进行了改进,通过远端锁孔固定时可直视下进钉,这项改进克服了准确穿入锁钉难的问题,还可在无 C 臂 X 光机的医院开展,避免了大量 X 线幅射,具有很大临床应用推广价值。
30 cases of femar fracture and tibia fracture were treated with interlocking intramedullary nails,20 cases have been followed up,including 14 cases of femar frac- ture and 6 cases of tibia fracture.All of them were fol- lowed up over three months with union of fraeture.The authers concluded that G-K nail was faster union than plate,such as simple operation,rigid fixation of fraetrue, less periost interference.The authers have undergone a change of inserting the nails,which could simplify the procedure of locking screws and reduce contact with X- ray.It is possible that the G-K nail could be done in the hospital.without C arm X-ray instrument.
出处
《广东医学》
CAS
CSCD
1996年第7期437-438,共2页
Guangdong Medical Journal
