| 带锁髓内钉治疗股骨干骨折与远端安锁定位装置 |
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投稿时间：2001-10-20
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| 期刊信息：《中国骨伤》2002年，第15卷，第6期，第327-328页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:总结带锁髓内钉治疗股骨干骨折的临床经验,改进远端锁钉瞄准器。
方法:股骨干骨折32例中,新鲜骨折25例,陈旧性骨折7例。采用闭合穿钉治疗11例,半开放穿钉12例,开放穿钉9例。设制髓内钉定位孔及安锁定位装置。
结果:本组病例随访6～23个月,平均12个月骨折均已愈合。按Klemm功能恢复分级评定:优21例,良9例,中2例。远端锁钉瞄准器改进后手术使用30例,无锁钉放置失败,一次交锁成功29例。
结论:①应用带锁髓内钉固定,对闭合复位困难的股骨干新鲜骨折,采用半开放穿钉术,效果良好。②改进后的远端锁钉瞄准器无需X线引导,锁钉准确可靠。 |
| 【关键词】骨折固定术,内 股骨骨折 外科手术 |
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| Treatment of femoral shaft fracture with intramedullary interlocking nail and distal locking localization device |
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ABSTRACT
Objective:To sum up the clinical experience of treatment of femoral shaft fracture with intramedullary interlocking nail and the distal locking device localization
Methods:32 coases of femoral shaft fractures composing of 25 cases fresh and 7 old were included in this study.There were 11 cases treated by closed nailing technique,12 by half open nailing,9 by open nailing.The localization aid in the distal locking device of interlocking nail was designed.
Results:In the followed up of 6 to 23 months,all fractures healed.According to the criteria of Klemm,there were 21 assessed as excellent,9 as good and 2 as fair.The improved distal locking localization device was used in 30 cases operations without miss insertion distal screw in all.The first screwing was successful in 29 cases.
Conclusion:①Good Results have been achieved by half open nailing technique for the femoral shaft fractures which is too difficult to deal with closed reduction.②The improved distal locking localization device was screwed in accurately without X-ray guidance. |
| KEY WORDS Fracture fixation,internal Femoral fracture Surgical,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 邹育才,李光昭,曾润铭,洪湖强,李佛保.带锁髓内钉治疗股骨干骨折与远端安锁定位装置[J].中国骨伤,2002,15(6):327~328 |
| 英文格式: | ZOU Yu cai,LI Guang zhao,ZENG Run ming.Treatment of femoral shaft fracture with intramedullary interlocking nail and distal locking localization device[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(6):327~328 |
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