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倒装型交锁髓内钉治疗股骨远端复杂骨折
Hits: 2032   Download times: 1098   Received:August 20, 2001    
作者Author单位UnitE-Mail
吴卫平 WU Wei ping 同济大学医学院附属铁路医院,上海200072 The Affiliated Railway Hospital,Medical College of Tongji University Shanghai,200072  
楼列名 同济大学医学院附属铁路医院,上海200072 The Affiliated Railway Hospital,Medical College of Tongji University Shanghai,200072  
陈正启 同济大学医学院附属铁路医院,上海200072 The Affiliated Railway Hospital,Medical College of Tongji University Shanghai,200072  
冉永欣 同济大学医学院附属铁路医院,上海200072 The Affiliated Railway Hospital,Medical College of Tongji University Shanghai,200072  
谷加炎 同济大学医学院附属铁路医院,上海200072 The Affiliated Railway Hospital,Medical College of Tongji University Shanghai,200072  
沈企勋 同济大学医学院附属铁路医院,上海200072 The Affiliated Railway Hospital,Medical College of Tongji University Shanghai,200072  
李山珠 同济大学医学院附属同济医院,上海  
期刊信息:《中国骨伤》2002年15卷,第8期,第456-458页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:评价倒装型交锁髓内钉治疗股骨远端复杂骨折的效果。

方法:C型臂X线机透视闭合复位,做膝关节小切口,从股骨髁间窝处插入倒装型髓内钉治疗股骨髁上及髁间复杂骨折患者26例。

结果:26例切口顺利愈合,无关节感染发生,骨折复位好,24例平均12.4周骨愈合,膝关节屈曲平均118°。

结论:倒装钉手术操作简单、固定可靠、对软组织破坏少,骨愈合率明显提高。用于治疗股骨远端复杂骨折手术效果好。
[关键词]:股骨骨折  骨折固定术  髓内  内固定器
 
Treatment of compound fracture of distal end of the femur with retrograde intramedullary nail
Abstract:

Objective:To evaluate therapeutic effect of the retrograde intramedullary nail for the treatment of compound fracture of distal end of the femur

Methods:The operative technique involved retrograde insertion of a retrograde intramedullary nail through the intercondylar notch

Results:24 fractures of 26 patients healed with an average time to union in 12.4 weeks(range 8~16 weeks).Average range of motion of the knee was 118 degrees.There were no superficial or deep infections.

Conclusion:The retrograde intramedullary nail provides rigid internal fixation for rapid healing and is an excellent alternative to plate osteosynthesis in the management of compound fracture of the distal end of the femur.
KEYWORDS:Femoral fracture  Fracture fixation,intramedullary  Internal fixation instrument
 
引用本文,请按以下格式著录参考文献:
中文格式:吴卫平,楼列名,陈正启,冉永欣,谷加炎,沈企勋,李山珠.倒装型交锁髓内钉治疗股骨远端复杂骨折[J].中国骨伤,2002,15(8):456~458
英文格式:WU Wei ping.Treatment of compound fracture of distal end of the femur with retrograde intramedullary nail[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(8):456~458
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