| 带锁髓内钉治疗股骨干骨折的并发症原因分析及预防 |
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投稿时间：2005-02-27
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| 作者 | Author | 单位 | Address | E-Mail |
| 吴峰 |
WU Feng |
佛山市中医院骨科,广东佛山528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong,528000,China |
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| 卢绍燊 |
LU Shao-shen |
佛山市中医院骨科,广东佛山528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong,528000,China |
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| 叶志军 |
YE Zhi-jun |
佛山市中医院骨科,广东佛山528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong,528000,China |
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| 陈希聪 |
CHEN Xi-cong |
佛山市中医院骨科,广东佛山528000 |
Department of Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong,528000,China |
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| 期刊信息：《中国骨伤》2005年，第18卷，第8期，第464-465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:分析带锁髓内钉治疗股骨干骨折的并发症发生原因,探讨预防措施。
方法:利用带锁髓内钉治疗股骨干骨折521例,男435例,女86例,平均年龄31岁（16～72岁）。骨折按AO分类:A1型57例,A2型66例,A3型96例,B1型62例,B2型99例,B3型75例,C1型33例,C2型21例,C3型12例。
结果:所有患者经11～48个月（平均18个月）的随访,优良率为90.2%。共出现并发症154例:血管损伤2例,神经损伤3例,脂肪栓塞综合征11例,术中骨折7例,感染7例,深静脉栓塞4例,锁钉误穿2例,主钉折断5例,锁钉断裂9例,锁钉松脱13例,术后再骨折7例,骨不连17例,异位骨化23例,膝关节粘连41例,骨折畸形愈合3例,无骨筋膜室综合征,并发症总发生率为29.6%。
结论:应用带锁髓内钉治疗股骨干骨折具有较好的疗效,但需防范带锁髓内钉使用中并发症的出现。 |
| 【关键词】股骨骨折 骨折固定术,髓内 并发症 |
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| Cause analysis and prevention of the complications of the femoral shaft fractures treated with interlocking nails |
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ABSTRACT
Objective:To analyze the causes of the complication of femoral shaft fractures treated with interlocking nails and explore the preventive measures.
Methods:Five hundreds and twenty-one patients(435 male,86 female,the average age of 31 years,ranging in age from 16 to 72 years) were treated with interlocking nail.Femoral shaft fractures were classified by AO principles:Type Al in 57 cases ,A2 in 66,A3 in 96,B1 in 62,B2 in 99,B3 in 75,C1 in 33, C2 in 21,C3 in 12.
Results:All patients were followed up for an average of 18 months(from 11 to 48 months),the excellent and good rate was 90.2%.Among 154 patients with complications:Vascular injuries was found in 2 cases,nerve injuries in 3 cases,fat embolism in 11 cases,fracture during operation in 7 cases,infection in 7 cases,deep venous thrombosis in 4 cases,mis-insertoin of locking nails in 2 cases,main nail broken in 5 cases,locking nail broken in 9 cases,locking nail loose in 13 cases,postoperative re-fractuve in 7 cases,unhealing of fracture in 17 cases,heterotopic ossification in 23 cases,adhesion of knee in 41 cases,malunion in 3 cases.No compartment syndrome was found,with the total incidence of complications being 29.6%.
Conclusion:Interlocking nail is an excellent alternative for the treatment of femoral shaft fractures.But it is necessary to reduce the complication. |
| KEY WORDS Femoral fractures Fracture fixation,intramedullary Complication |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吴峰,卢绍燊,叶志军,陈希聪.带锁髓内钉治疗股骨干骨折的并发症原因分析及预防[J].中国骨伤,2005,18(8):464~465 |
| 英文格式: | WU Feng,LU Shao-shen,YE Zhi-jun,CHEN Xi-cong.Cause analysis and prevention of the complications of the femoral shaft fractures treated with interlocking nails[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(8):464~465 |
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