期刊文献+

两种髓内钉固定山羊股骨干骨折的对比 被引量:1

Comparision of two kinds of intramedullary nail in fixing femoral fractures in goats
原文传递
导出
摘要 目的 建立山羊股骨干骨折模型,对比空心交锁髓内钉和尾丝髓内钉的固定效果。方法 选取40只成年公山羊股骨骨折模型,20只采用空心交锁髓内钉固定(A组),20只采用尾丝髓内钉固定(B组)。术后4、8周行X线复查并于骨折愈合后取出内固定,对比分析两组手术数据。结果 两组山羊于术后8周骨折均愈合,B组植入手术时间为(37.9±5.1)min、出血量为(38.0±66.O)rnl、术中透视时间为(6.8±3.1)s、取出术时间为(24.4±5.3)min、出血量为(26.3±7.8)rnl,各项数据均小于A组,差异有统计学意义(P〈0.05),尾帽掉落次数差异无统计学意义(P〈0.05)。B组1只山羊在植入术后死亡。结论 尾丝髓内钉治疗股骨干骨折的疗效与交锁髓内钉相当,但手术时间短,出血量少,X线暴露少,步骤简便。 Objective Toestablish femoral fracture models in goats, and compare the effect of using cannulated interlocking intramedullary nail and intramedullary nail with tail wire . Methods 40 adult male goats were selected, and the bilateral posterior middle femoral fracture models were artificially established. Twenty goats were fixed with cannulated interlocking intramedullary nail ( group A) , and 20 with intramedullary nail with tail wire (group B). X-ray examination was done at 4th and 8th week postoperatively and the nails were removed after fractures were healed. All the operative data were recorded and analyzed statistically. Results All fractures were healed in about 8 weeks postoperatively. Implanting operative time was ( 37.9 ± 5.1 ) min, blood loss was ( 38.0 ± 66. 0) mL, intraoperative fluoroscopy time was (6. 8 ± 3. 1 ) s, and removal operative time was (24. 4 ± 5.3 ) min, blood loss was (26. 3 ± 7. 8) mL in group B, which were significantly different from those in group A (P 〈0.05 for all). End cap falls in both groups had no significant differences ( P 〉 0. 05 ). One goat in group B was died after the implanting operation. Conduslon Intramedullary nail with tail wire in fixing femoral fractures has the same effects as cannulated interlocking intramedullary nail, but it has many advantages, including shorter operative time, less blood loss and X-ray exposure, and simple steps.
出处 《中华实验外科杂志》 CAS CSCD 北大核心 2014年第7期1457-1459,共3页 Chinese Journal of Experimental Surgery
基金 国家高技术研究发展计划(863计划)资助项目(2011AA030101)
关键词 山羊 股骨干骨折 尾丝髓内钉 交锁髓内钉 髓内钉取出术 Goats Femoral fracture Intramedullary nail with tail wire Cannulated inter-locking intramedullary nail Intramedullary nail removal operation
  • 相关文献

参考文献7

  • 1王正国.创伤研究的某些进展[J].中华实验外科杂志,2005,22(4):389-390. 被引量:18
  • 2Cheung G, Zalzal P, Bhandari M, et al. Finite element analysis of a femoral retrograde intramedullary nail subject to gait loading[ J]. Med Eng Phys ,2004,26 (2) :93-108.
  • 3Hakeos WM, Richards JE, Obremskey WT. Plate fixation of femoral nonunions over an intramedu|lary nail with autogenous bone grafting [ J]. J Orthop Trauma,2011,25(2) :84-89.
  • 4Rhorer AS. Percutaneous/minimally invasive techniques in treatment of femoral shaft fractures with an intramedullary nail [ J ]. J Orthop Trauma,2009,23 (5 Suppl) : S2-S5.
  • 5罗军忠,张英泽,王汉林,韩久卉.改良内固定治疗股骨颈骨折的研究[J].中华实验外科杂志,2010,27(7):989-991. 被引量:6
  • 6Freeman BJ,Atkins RM. End caps for the intramedullary nail:a help or a hindrance [ J ]. J Orthop Trauma, 1998,12 (4) :299-300.
  • 7Clough TM, Sampath J, Shah V. Dislodgement of the locking cap from the AO unreamed intramedullary nail: a case report [ J ]. J Orthop Trauma,2000,14 (2) : 105-107.

二级参考文献9

共引文献22

同被引文献12

引证文献1

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部