| 万向型螺丝刀的研制与临床应用 |
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投稿时间：2020-09-16
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| 作者 | Author | 单位 | Address | E-Mail |
| 褚武 |
CHU Wu |
宁波市慈林医院骨科, 浙江 宁波 315315 |
Department of Orthopaedics, Chinaco Healthcare Corporation Limited International Hospital, Ningbo 315315, Zhejiang, China |
2596706960@qq.com |
| 陈立军 |
CHEN Li-jun |
宁波市慈林医院骨科, 浙江 宁波 315315 |
Department of Orthopaedics, Chinaco Healthcare Corporation Limited International Hospital, Ningbo 315315, Zhejiang, China |
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| 薛防震 |
XUE Fang-zheng |
宁波市慈林医院骨科, 浙江 宁波 315315 |
Department of Orthopaedics, Chinaco Healthcare Corporation Limited International Hospital, Ningbo 315315, Zhejiang, China |
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| 期刊信息：《中国骨伤》2021年，第34卷，第7期，第622-627页 |
| DOI：10.12200/j.issn.1003-0034.2021.07.007 |
| 基金项目: |
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中文摘要:
目的：研制用于封闭股骨交锁髓内钉中心孔尾端的万向型螺丝刀，以缩短尾帽植入髓内钉的手术时间，提高植入准确性。
方法：回顾性研究2018年6月至2019年6月收治的股骨转子间骨折行交锁髓内钉（femoral interlocking intramedullary nail，FIIN）手术患者77例，男28例，女49例，年龄55~80（76.22±7.32）岁，病程20~40 h。所有患者根据术中是否适用自行研制的万向型螺丝钉分为万向螺丝刀组（39例）和普通螺丝刀组（38例）。比较两组患者尾帽植入期间出血量及尾帽植入时间、一次性植入成功率、术后疗效。
结果：所有患者获得随访，随访时间12~36（20.00±6.38）个月。万向螺丝刀组患者出血量以及尾帽植入时间与普通螺丝刀组比较差异有统计学意义（P<0.05）；万向螺丝刀组一次性成功率与普通螺丝刀组比较差异有统计学意义（P<0.05）；末次随访时，两组患者疗效评分均较术前改善，万向螺丝刀组患者的疗效评分与普通螺丝刀组比较差异有统计学意义（P<0.05）。
结论：万向型螺丝刀在股骨髓内钉尾帽使用时术中操作简便，手术时间缩短，出血量减少，治疗效果满意。 |
| 【关键词】股骨骨折 髋骨折 骨折固定术,髓内 螺丝刀 |
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| Development and clinical application of universal screwdriver |
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ABSTRACT
Objective: To develop a universal screwdriver for sealing the end of the central hole of the femoral interlocking intramedullary nail,so as to shorten the operation time of the tail cap implantation of the intramedullary nail and improve the accuracy of implantation.
Methods: Total 77 patients with intertrochanteric fractures underwent femoral interlocking intramedullary nail(FIIN) surgery from June 2018 to June 2019. There were 28 males and 49 females,aged 55 to 80(76.22±7.32) years old,and course of disease was 20 to 40 h. All patients were divided into universal screwdriver group (39 cases) and ordinary screwdriver group (38 cases) according to whether the self-developed universal screw was applicable during the operation. The blood loss during tail cap implantation,the time of tail cap implantation,the success rate of one-time implantation,and the postoperative curative effect were compared between two groups.
Results: All patients were followed up for 12 to 36 months,with an average of(20.00±6.38) months. The bleeding volume and the time of tail cap implantation in the universal screwdriver group were significantly lower than those in the ordinary screwdriver group(P<0.05);The one-time success rate (100%) of the universal screwdriver group was significantly higher than that of the ordinary screwdriver group(75.4%)(P<0.05);at the last follow-up,the efficacy scores of two groups were improved compared with preoperatively,but the efficacy scores of the universal screwdriver group were significantly better than those of the ordinary screwdriver group(P<0.05).
Conclusion: The universal screwdriver is easy to operate during the operation when using the cap of the femoral intramedullary nail,the operation time is shortened,the amount of bleeding is reduced,and the treatment effect is satisfactory. |
| KEY WORDS Femoral fractures Hip fractures Fracture fixation,intramedullary Screwdriver |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 褚武,陈立军,薛防震.万向型螺丝刀的研制与临床应用[J].中国骨伤,2021,34(7):622~627 |
| 英文格式: | CHU Wu,CHEN Li-jun,XUE Fang-zheng.Development and clinical application of universal screwdriver[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(7):622~627 |
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