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交锁髓内钉治疗股骨干骨折的临床疗效观察

Clinical analysis on the treatment for femoral shaft fractures with intramedullary interlocking nail

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【作者】 谭宏昌康毅李建宁

【Author】 TAN Hong-chang,KANG Yi,LI Jian-ning.Department of Orthopaedics,Affiliated Hospital of Guangdong Medical College,Zhanjiang,524001,China

【机构】 广东医学院附属医院骨科广东医学院附属医院骨科 524001广东湛江524001广东湛江

【摘要】 目的 探讨交锁髓内钉在股骨干骨折中的应用。方法 回顾性分析1998 年1 月至2003 年12月行交锁髓内钉内固定术的股骨干骨折患者98例。结果 98 例均获随访,97 例于术后13~24 周骨性愈合(平均18 1周),下肢髋膝踝关节功能恢复良好。术中出血100~1 200 ml;手术时间50~140 min,平均70 8min。1例术后复查发现远端锁钉未能通过锁钉孔,主钉于术后3个月断裂1例,远端锁钉于术后4 个月断裂1例外,无其他并发症的发生。结论 使用交锁髓内钉治疗股骨干骨折疗效满意,有推广应用价值。

【Abstract】 Objective To discuss the application of intramedullary interlocking nail in the treatment of femoral shaft fractures.Methods Retrospective analysis was given to 98 cases of femoral shaft fractures treated with intramedullary interlocking nails from January,1998 to December,2003.Results All cases were followed up,and 97 cases healed 13 to 24 weeks after operation(average 18.1 weeks).Joint function of coax,knee,ankle,recoveried.It bleeded 100~1200ml;Surgery time:50~140min,average 70.8min.In one case the far-end nail could not lock hole after operation,the host nail of one patient break three months later,far-end nail break in one patient four months later,no other complications was found.Conclusion Intramedullary interlocking nail is effective in the treatment of femoral shaft fracture.

【关键词】 股骨骨折内固定器
【Key words】 Femoral fractureInternal fixators
  • 【文献出处】 中国基层医药 ,Chinese Journal of Primary Medicine Pharmacy , 编辑部邮箱 ,2005年03期
  • 【分类号】R687.3
  • 【被引频次】1
  • 【下载频次】23
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