摘要
目的:比较顺行与逆行髓内针治疗股骨中下段骨折的临床疗效。方法:回顾性分析2012年2月至2016年1月收治且获得随访的56例股骨中下段骨折患者资料,根据髓内针治疗的不同分为两组:顺行组25例,逆行组31例。对比两组骨折愈合、骨折端对位对线情况、髋膝关节功能及相关并发症。结果:56例患者均得到随访,随访时间为12~30个月,平均16个月。两组均有较高的骨折愈合率,两组髋膝关节功能差异无统计学意义,股骨内侧髁疼痛及股骨反弓畸形发生率较高。结论:顺行与逆行髓内针治疗股骨中下段骨折具有同样的临床效果。
Objective： To compare the clinical efficacy of antegrade intramedullary nailing and Retrograde intramedullary nailing for the middle and distal femoral fractures. Methods： The data of 56 patients with middle and distal femoral fractures who had been treated in our department were analyzed retrospectively from February 2012 to January 2016. They were divided into 2 groups according to the different treatment of intramedullary nailing. In the antegrade group, there were 25 patients, while 31 patients in the retrograde group. The bone union, reduction of fracture, function of knee and hip and complications were compared between the two groups. Results： All the patients had been followed up for 12 ~ 30 months（meaning 16 months）. Both groups had higher fracture healing rates, and the hip joint function had no significant difference in the two groups. There were high incidence in pain of the medial femoral condyle and deformity of backward angulation. Conclusion：Antegrade and retrograde intramedullary nailing have similar clinical effect for middle and distal femoral fractures.
出处
《中国中医骨伤科杂志》
CAS
2017年第12期17-20,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
股骨中下段骨折
顺行髓内针
逆行髓内针
middle and distal femoral fractures lantegrade intramedullary nailing
retrograde intramedullary nailing
