摘要
目的:评价应用股骨粗隆部取骨髓内钉固定治疗新鲜股骨干粉碎性骨折的疗效。方法:2009年1月至2010年1月,采用股骨粗隆部取骨髓内钉固定治疗新鲜股骨干粉碎性骨折50例,男35例,女15例;年龄28～50岁,平均38.4岁。根据AO骨折分类原则,其中B1型15例,B2型20例,B3型8例,C1型7例。结果:50例均获得随访,随访12～24个月,平均14.4个月。所有病例均于4～6个月内获得骨性愈合,平均愈合时间5.6个月。膝关节活动正常,无感染、血管神经损伤等并发症。根据Merchan膝关节功能评分标准,优25例,良20例,可3例,差2例。结论:用髓内钉固定治疗新鲜股骨干粉碎性骨折的同时,于股骨粗隆部取骨作为植骨材料,具有损伤小、失血少、骨折愈合率高、功能恢复好的优点,是新鲜粉碎性股骨干骨折的理想疗法。
Objective：To discuss the curative effect of bone graft from trochanter with interlocking intramedullary nail for comminute fractrue of femur.Methods：From January of 2009 to January of 2010,fifty patients with comminute fractrue of femur were treated by the therapy of bone graft from trochanter with interlocking intramedullary nail,included 35 males and 15 females with an average age of 38.4 years old ranging from 28 to 50 years.According to AO /ASIF classification system,there were 15 cases of type B1,20 of type B2,8 of type B3,7 of type C1.Results：All the patients were followed up for 12 to 24 months,averaged 14.4 months.All the broken femurs knited in 4 to 6 months,the average period of knit was 5.6 months.The injured legs with normal movement in knees,which had no infection,vascellum nerve injury and anchylosis in knees.According to Merchan knee rating scale,the results were excellent in 25 cases,good in 20,fair in 3 and poor in 2,and the excellent and good rate was 90%.Conclusion：Bone graft from trochanter with interlocking intramedullary nail,which has a virtue of small injury,less blood loss,high rate of bone knit,perfect functional recovery,is a preferable therapy of fresh fracture of femur.
出处
《中国骨伤》
CAS
2010年第12期950-951,共2页
China Journal of Orthopaedics and Traumatology
关键词
股骨骨折
骨折固定术
髓内
骨移植
Femoral fractures
Fracture fixation
intramedullary
Bone transplantation
作者简介
E-mail ： zhangzhou 175 @yahoo. com. cn
