| 闭合复位髓内扩张自锁钉治疗股骨干骨折 |
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Received:November 29, 2001
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| 作者 | Author | 单位 | Unit | E-Mail |
| 齐向北 |
QI Xiang bei |
河北医科大学附属第三医院,河北石家庄050051 |
The 3rd Hospital of Hebei Medical University Hebei Shijiazhuang,050051 |
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| 任栋 |
REN Dong |
河北医科大学附属第三医院,河北石家庄050051 |
The 3rd Hospital of Hebei Medical University Hebei Shijiazhuang,050051 |
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| 潘进社 |
PAN Jin she |
河北医科大学附属第三医院,河北石家庄050051 |
The 3rd Hospital of Hebei Medical University Hebei Shijiazhuang,050051 |
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| 彭阿钦 |
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河北医科大学附属第三医院,河北石家庄050051 |
The 3rd Hospital of Hebei Medical University Hebei Shijiazhuang,050051 |
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| 赵昌平 |
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河北医科大学附属第三医院,河北石家庄050051 |
The 3rd Hospital of Hebei Medical University Hebei Shijiazhuang,050051 |
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| 侯志勇 |
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河北医科大学附属第三医院,河北石家庄050051 |
The 3rd Hospital of Hebei Medical University Hebei Shijiazhuang,050051 |
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| 李衡 |
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河北医科大学附属第三医院,河北石家庄050051 |
The 3rd Hospital of Hebei Medical University Hebei Shijiazhuang,050051 |
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| 期刊信息：《中国骨伤》2002年15卷，第9期，第521-523页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:观察髓内扩张自锁钉(IESN)闭合复位治疗股骨干骨折的临床应用和疗效。
方法:本组股骨干骨折25例。其中男20例,女5例。全部为新鲜闭合骨折。骨折类型横型与短斜型12例,螺旋型6例,粉碎型7例。上1/3骨折8例,中1/3骨折10例,下1/3骨折7例。22例采用牵引闭合复位置钉内固定,3例严重粉碎骨折采用小切口复位。
结果:经4～22个月(平均13个月)随访,骨折全部愈合,愈合时间平均4个月。按Klemm功能恢复分级标准,24例优,1例良。
结论:(1)闭合复位内固定既保留了骨折端血肿,又保护了骨外膜血运,有利于骨折愈合。(2)80%病例不用扩髓,对局部血运破坏小,有利于骨折愈合。(3)扩大了髓内固定治疗股骨干骨折的适应症,术中出血少,创伤小。 |
| [关键词]:股骨骨折 骨折,闭合型 骨折固定术,内 |
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| Closed reduction and intramedullary expanded self locking nail for the treatment of femoral shaft fracture |
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Abstract:
Objective:To observe the results of patients with femoral shaft fractures treated with closed reduction and intramedullary expanded self locking nail (IESN) internal fixation
Methods:25 patients,20 male and 5 female with femoral shaft fractures were treated operatively using IESN internal fixation.All of them were fresh closed fractures.Transverse and short oblique fractures were found in 12 spiral fractures in 6,comminuted fractures in 7;8 of the fractures were in the proximal middle third of the femur,10 in middle and distal middle third and 7 in the distal third.Closed reduction and IESN internal fixation had been adopted in 22 cases,3 comminuted fractures were reduced through a small incision.
Results:The follow up ranged from 4～22 months (average 13 months) All of the fractures healed up.The average fracture healing time was 14 months.According to Klemm evaluation method,24 patients were classified as excellent,1 as good.
Conclusion:Closed reduction internal fixation can protect the clotting blood around the fracture,the periosteal blood supply,and improve the fractures healing.IESN made the intramedullary fixation possible to be used widely in femoral fractures. |
| KEYWORDS:Femoral fracture Fractures,closed Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 齐向北,任栋,潘进社,彭阿钦,赵昌平,侯志勇,李衡.闭合复位髓内扩张自锁钉治疗股骨干骨折[J].中国骨伤,2002,15(9):521~523 |
| 英文格式: | QI Xiang bei,REN Dong,PAN Jin she.Closed reduction and intramedullary expanded self locking nail for the treatment of femoral shaft fracture[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(9):521~523 |
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