| 自制微调装置在股骨交锁髓内钉远端锁钉过程中的应用 |
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投稿时间：2018-06-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 李运美 |
LI Yun-mei |
沧州中西医结合医院骨六科, 河北 沧州 061001 |
Department of Orthopaedics, Cangzhou Hospital of Integrated TCM-WM, Cangzhou 061001, Hebei, China |
172923438@qq.com |
| 邢宝瑞 |
XING Bao-rui |
沧州中西医结合医院骨六科, 河北 沧州 061001 |
Department of Orthopaedics, Cangzhou Hospital of Integrated TCM-WM, Cangzhou 061001, Hebei, China |
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| 郭东辉 |
GUO Dong-hui |
沧州中西医结合医院骨六科, 河北 沧州 061001 |
Department of Orthopaedics, Cangzhou Hospital of Integrated TCM-WM, Cangzhou 061001, Hebei, China |
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| 韩广普 |
HAN Guang-pu |
沧州中西医结合医院骨六科, 河北 沧州 061001 |
Department of Orthopaedics, Cangzhou Hospital of Integrated TCM-WM, Cangzhou 061001, Hebei, China |
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| 期刊信息：《中国骨伤》2019年，第32卷，第2期，第161-165页 |
| DOI：10.3969/j.issn.1003-0034.2019.02.013 |
| 基金项目: |
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中文摘要:
目的：评价自制微调装置在股骨交锁髓内钉远端锁钉植入过程中的疗效。
方法：2014年10月至2017年10月采用顺行交锁髓内钉治疗股骨干骨折患者66例，男45例，女21例；年龄（37.21±11.18）岁。36例远端锁钉过程中采用髓内钉厂家自带的瞄准装置外加微调装置（研究组），30例远端锁钉过程中采用髓内钉厂家自带的瞄准装置（对照组），对比两组远端锁钉过程的手术时间及C形臂X线透视的次数、术后并发症、骨折愈合情况。
结果：62例患者获得随访，时间8~15个月，平均12.4个月。两组中术后并发症、骨折愈合情况比较差异无统计学意义（P>0.05），研究组远端锁钉耗时、透视次数明显少于对照组，差异有统计学意义（P<0.05）。
结论：自制微调装置在交锁髓内钉治疗股骨干骨折过程中，可以缩短手术时间，减少X线透视次数。 |
| 【关键词】股骨 骨折固定术,髓内 外科器械 |
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| Application of self-made fine-tuning device in distal locking process of femoral interlocking intramedullary nail |
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ABSTRACT
Objective: To evaluate the curative efficacy of self-made fine-tuning setting in the process of femoral distal implantation of intramedullary nail.
Methods: From October 2015 to October 2017, 66 cases of femoral shaft fracture were treated with anterograde interlocking intramedullary nail including 45 males and 21 females with a mean age of (37.21±11.18) years old. Among them, 36 cases were treated with the manufacture's aiming device and self-made fine-tuning setting (research group), other 30 cases were treated with the manufacture's aiming device (control group). The mean operation time, the times of C-arm scan in surgery, the post-operation complications and the fracture union were observed and compared in two groups.
Results: Sixty-two cases acquired 8 to 15 months with a mean time of 12.4 months follow-up visit. The post-operation complications and the fracture union between the two groups had no significant difference (P>0.05), the mean operation time and the times of C-arm scan in surgery had statistically significant difference (P<0.05).
Conclution: Self-made fine-tuning setting in the process of femoral interblocking intramedullary nail could shorten operation time and reduce the the times of C-arm scan. |
| KEY WORDS Femur Fracture fixation,intramedullary Surgical instruments |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李运美,邢宝瑞,郭东辉,韩广普.自制微调装置在股骨交锁髓内钉远端锁钉过程中的应用[J].中国骨伤,2019,32(2):161~165 |
| 英文格式: | LI Yun-mei,XING Bao-rui,GUO Dong-hui,HAN Guang-pu.Application of self-made fine-tuning device in distal locking process of femoral interlocking intramedullary nail[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(2):161~165 |
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