| 单臂外固定支架辅助闭合复位交锁髓内钉固定治疗股骨干粉碎性骨折 |
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投稿时间：2013-01-10
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| 作者 | Author | 单位 | Address | E-Mail |
| 祝海炳 |
ZHU Hai-bing |
舟山市中医骨伤联合医院, 浙江 舟山 316000 |
Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China |
zszhb@yahoo.com.cn |
| 武理国 |
WU Li-guo |
舟山市中医骨伤联合医院, 浙江 舟山 316000 |
Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China |
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| 李哲民 |
LI Zhe-min |
舟山市中医骨伤联合医院, 浙江 舟山 316000 |
Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China |
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| 方智松 |
FANG Zhisong |
舟山市中医骨伤联合医院, 浙江 舟山 316000 |
Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China |
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| 罗从风 |
LUO Cong-feng |
上海市第六人民医院骨科, 上海 200030 |
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| 高洪 |
GAO Hong |
上海市第六人民医院骨科, 上海 200030 |
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| 王庆丰 |
WANG Qing-feng |
舟山市中医骨伤联合医院, 浙江 舟山 316000 |
Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China |
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| 傅国海 |
FU Guo-hai |
舟山市中医骨伤联合医院, 浙江 舟山 316000 |
Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China |
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| 马一平 |
MA Yi-ping |
舟山市中医骨伤联合医院, 浙江 舟山 316000 |
Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2013年，第26卷，第9期，第772-774页 |
| DOI：10.3969/j.issn.1003-0034.2013.09.017 |
| 基金项目: |
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中文摘要:
目的：介绍单臂外固定支架辅助闭合复位髓内钉内固定治疗股骨干骨折的手术方法和疗效.
方法：自2008年6月至2012年10月,采用单臂外固定支架辅助闭合复位、交锁髓内钉固定治疗股骨干骨折24例,其中男19例,女5例;年龄20～68岁,平均45.6岁.车祸伤14例,坠落伤6例,重物砸伤4例,入院诊断均为股骨干骨折,手术在入院胫骨结节牵引1周左右进行.
结果：所有患者获随访,时间6～24个月,平均16.2个月,X线示骨折愈合时间11～17周,平均13.8周,骨折全部愈合,无断钉或临近关节功能障碍.按照股骨干疗效评定标准,优23例,良1例.
结论：单臂固定支架辅助闭合复位交锁髓内钉固定治疗股骨干骨折,具有创伤小、操作简单、复位有效、骨折愈合率高、并发症发生率低的优点. |
| 【关键词】股骨干骨折 复位 骨折固定术,髓内 |
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| Unilateral external fixation assisted with closed reduction and interlocking intramedullary nail fixation for the treatment of comminuted fracture of femoral shaft |
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ABSTRACT
Objective：To introduce the use of single armexternal fixation assisted reduction and closed co mplex intramedullary nail fixation for the treatment of femoral shaft fracture operation method and to study its effects.
Methods：From June 2008 to October 2012,24 patients with femoral shaft fractures were treat ed with unilateral external fixation assisted by closed reduction,interlocking intramedullary nail fixation.Among the patients,19 patients were male and 5 patients were female,ranging in aged from 20 to 68 year s,with an average of 45.6 years old.The fracture was caused by traffic accidents in 14 cases,by falling in 6 cases,by heavy bruising in 4 cases.Admission diagnosis was femoral shaft fracture.Operation was perfor med after traction from tibial tubercle for about 1 week.
Results：All the patients were followed up,and the duration ranged from 6 to 24 months,with a mean of 16.2 months.The X-ray showed fracture healing time ranging from 11 to 17 weeks,with an average of 13.8 weeks.All fractures healed without nails broken or close j oint dysfunction.According to femoral shaft efficacy evaluation standards,23 patients got an excellent result,1 good.
Conclusion：Unilateral fixator assisted closed reduction and interlocking intramedullarynail fixation for the treatment of femoral shaft fracture has following advantages:less trauma,simple operation,effective reduction,high rate of fracture healing,and low complication rate. |
| KEY WORDS Fracture of femoral shaft Reduction Fracture fixation,intramedullary |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 祝海炳,武理国,李哲民,方智松,罗从风,高洪,王庆丰,傅国海,马一平.单臂外固定支架辅助闭合复位交锁髓内钉固定治疗股骨干粉碎性骨折[J].中国骨伤,2013,26(9):772~774 |
| 英文格式: | ZHU Hai-bing,WU Li-guo,LI Zhe-min,FANG Zhisong,LUO Cong-feng,GAO Hong,WANG Qing-feng,FU Guo-hai,MA Yi-ping.Unilateral external fixation assisted with closed reduction and interlocking intramedullary nail fixation for the treatment of comminuted fracture of femoral shaft[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(9):772~774 |
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