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股骨交锁髓内钉断钉原因探讨

Biomechanical analysis of the failure of the interlocking nail of femal

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【作者】 黄珩勘武生彭永海

【Author】 HUANG Heng,KAN Wusheng,PENG Yonghai.Department of Orthopedics,Fourth Hospital,Wuhan 430033,China

【机构】 武汉市第四人民医院骨科武汉市第四人民医院骨科 430033430033

【摘要】 目的 探讨交锁髓内钉断裂的原因。方法 对 1998年至 2 0 0 1年 72例股骨干骨折作交锁髓内钉固定患者进行随访。结果  61例获得随访 ,断钉 5例 ,断钉发生在 4~ 9个月 ,3例交锁钉钉体断裂 ,2例锁钉发生断裂。结论 开放穿钉 ,过度分离骨膜 ,过早负重及功能锻炼不适当等可致断钉

【Abstract】 Objective To evaluate the reason of failure of the interlocking nail.Methods From1998-2001, 72 patients with femur fractures were treated with the interlocking nail.Results 61 cases were followed-up,there were 5 breakages in the locking nail. The failure occurred after operation from 4~9 months.And 3 cases were at the middle of the nail.2 cases were at the first screw of the distal of the fracture.Conclusion The reason of breakage concluded open operation,too much separation of the periosteum,too early full weight bearing and unfit function exercise.

【关键词】 交锁钉内固定并发症
【Key words】 Interlocking nailInternal fixationComplication
  • 【文献出处】 临床外科杂志 ,Journal of Clinical Surgery , 编辑部邮箱 ,2003年02期
  • 【分类号】R687.33
  • 【被引频次】11
  • 【下载频次】54
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