股骨髁上骨折二种内固定方法的临床比较

【摘要】 目的比较股骨髁上骨折二种内固定方法的临床疗效。方法分别应用股骨髁上逆行交锁髓内钉(GSHN)、动力加压髁螺钉(DCS)治疗股骨髁上骨折,术后获随访共72例,通过对其手术时间、术中失血量、术后引流量、骨折愈合时间、患肢功能进行临床评价。结果所有患者均随访12~26个月至骨折愈合后,平均17个月;GSHN组与DCS组相比,手术时间、术中失血量、术后引流量、术后骨折愈合时间均有明显的统计学差异。肢体功能按Kolmert评分标准评定,GSHN、DCS的优良率分别为89.7%、81.8%。结论应用GSHN治疗股骨髁上骨折具有手术时间短,术中失血量、术后引流量较少、骨折愈合快、肢体功能恢复良好等优点,值得临床推荐。更多还原

【Abstract】 Objective To compare the effect of two types of internal fixatio n for femoral supracondylar fracture. Methods The average o perative time, intraoperative blood loss, postoperative drainage, healing time w ere compared as well as the function of limb in 72 cases from Jan 1995 to Dec 20 03 who were treated by dynamic condyle screw plate (DCS) or retrograde supracond ylar intramedullary interlocking nail(GSHN). Results All th e case were followed up for 12～26 months and the average time of fracture h ealing was 18 months. There were significant differences in the operation time, intraoperative blood loss, postoperative drainage, fracture healing time between GSHN group and DCS group. Conclusion GSHN have the advanta ges of little soft tissue dissection and good effect for femoral supracondylar f racture. compared with DCS.更多还原