摘要
本文对我院1988年7月—1994年11月间用带锁髓内钉治疗股骨、胫骨骨折进行总结,共施行手术62例,随访7个月以上的58例.结果:死亡3例(均与骨折无关),2例骨折未愈合,1例骨转移癌术后仍存活,其余52例骨折全部愈合.关节功能恢复良好.术后并发症:钉断裂2例,伤口感染1例,近端锁钉断裂1例,远端锁钉断裂2例,均未影响骨折愈合及功能的恢复.带锁髓内钉应用范围广,骨折愈合率高,手术失败率低,拔钉后不会出现再骨折,是一种比较好的内固定方法.
Femoral or/and tibial fractures in sixty - two patients were treated with the Grosse -Kempf interlocking intramadullay nailing from July 1988 to November 1994. Of 62 patients, 58 patients followed up over 7 months. Three patients died of unrelated causes. Fifty-two patients healed with good function of joints. Complications developed in 7 patients. Bone nonunion in 2 patients, nail broken in 2 patients, deep infection in 1 patient, proximal oblique bolt broken in 1 patient and distal transverse bolts broken in 2 patients. The interlocking intramadullary nailing has extensive indication, high incidence of fracture healing and low incidence of refracture after nailing removed. We believe this is a good internal fixation.
出处
《骨与关节损伤杂志》
1996年第5期282-284,共3页
The Journal of Bone and Joint Injury
关键词
带锁髓内钉
股骨
胫骨
骨折
Interlocking intramadullary nailing
Femoral
Tibial
Fractures
