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股骨髁上交锁髓内钉治疗股骨远端粉碎骨折

Hits: 1896 Download times: 1311 Received:February 23, 2001

作者	Author	单位	Unit	E-Mail
楼列名	LOU Lie ming	同济大学附属铁路医院,上海200072	Affiliated Railway Hospital of Tongji University Shanghai,200072
吴卫平	WU Wei ping	同济大学附属铁路医院,上海200072	Affiliated Railway Hospital of Tongji University Shanghai,200072
夏军	XIA Jun	复旦大学附属华山医院,上海
沈企勋		同济大学附属铁路医院,上海200072
冉永欣		同济大学附属铁路医院,上海200072
李山珠		同济大学附属同济医院,上海

期刊信息：《中国骨伤》2001年14卷，第5期，第275-276页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的：评价股骨髁上交锁髓内钉治疗股骨远端粉碎骨折的效果。

方法：应用股骨髁上交锁髓内钉治疗股骨远端骨折37例。闭合及小切口开放复位,做膝关节小切口,从股骨髁间窝处插入交锁髓内钉治疗股骨髁上及髁间粉碎骨折。

结果：37例切口顺利愈合,无关节感染发生,骨折复位好,35例骨愈合平均124周,膝关节屈曲平均105°。

结论：股骨髁上交锁髓内钉手术操作简单、固定可靠,对软组织破坏少,骨愈合率明显提高。

[关键词]:骨折骨折固定术髓内交锁髓内钉

Treatment of comminuted fracture of distal end of femur with supracondylar locked intramedullary nail

Abstract:

Objective:To evaluate clinical effects of supracondylar locked intramedullary nail for the treatment of comminuted fracture of distal end of femur.

Methods: 37 patients with comminuted fracture of distal end of femur were treated with supracondylar locked intramedullary nail.After closed and open reduction with minimal incision,locked intramedullary nail were inserted into femoral intercondylar fossa through minimal incision performed in knee joint.

Results: 37 cases obtained per primum healing of the incision and satisfactory reduction of the fracture without intraarticular infection.Bone union of 35 cases occurred in an average of 12.4 weeks and the average flexion angle of knee joint was 105°.

Conclusion:The merits of this apparatus for the treatment of comminuted fracture of distal end of femur are its simple manipulation,stable fixation,less injury to soft tissue and increase of bone union.

KEYWORDS:Fracture Fracture fixation intramedullary Locked intramedullary nail

引用本文，请按以下格式著录参考文献：

中文格式:	楼列名,吴卫平,夏军,沈企勋,冉永欣,李山珠.股骨髁上交锁髓内钉治疗股骨远端粉碎骨折[J].中国骨伤,2001,14(5):275~276
英文格式:	LOU Lie ming,WU Wei ping,XIA Jun.Treatment of comminuted fracture of distal end of femur with supracondylar locked intramedullary nail[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(5):275~276

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