| 双摇杆技术在成人股骨干骨折复位内固定术中的应用 |
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Received:April 19, 2015
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王智勇 |
WANG Zhi-yong |
河南省洛阳正骨医院 河南省骨科医院, 河南 洛阳 471002 |
Luoyang Orthopaedics Traumatological Hospital, Luoyang 471002, Henan, China |
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| 陈柯 |
CHEN Ke |
河南省洛阳正骨医院 河南省骨科医院, 河南 洛阳 471002 |
Luoyang Orthopaedics Traumatological Hospital, Luoyang 471002, Henan, China |
115946827@qq.com |
| 田可为 |
TIAN Ke-wei |
河南省洛阳正骨医院 河南省骨科医院, 河南 洛阳 471002 |
Luoyang Orthopaedics Traumatological Hospital, Luoyang 471002, Henan, China |
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| 叶晔 |
YE Ye |
河南省洛阳正骨医院 河南省骨科医院, 河南 洛阳 471002 |
Luoyang Orthopaedics Traumatological Hospital, Luoyang 471002, Henan, China |
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| 期刊信息：《中国骨伤》2015年28卷，第7期，第606-608页 |
| DOI：10.3969/j.issn.1003-0034.2015.07.006 |
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目的:探讨双摇杆技术在成人股骨干骨折复位内固定术中的应用价值。
方法:自2010年9月至2013年6月,采用双摇杆技术克氏针辅助复位交锁髓内钉内固定治疗成人股骨干骨折患者34例,男24例,女10例;年龄17～65岁,平均41岁。病程3～7 d,平均5 d.按AO分型,32A型5例,32B型20例,32C型9例。左侧18例,右侧16例。术后随访观察骨折愈合及并发症发生情况,并按照Thorsen股骨骨折术后形态评估标准评价疗效。
结果:患者手术时间40～110 min,平均75 min;术中出血200～300 ml,平均250 ml.术中所有骨折获得了良好复位。术后所有患者获随访,时间12～24个月,平均18个月。骨折均愈合,愈合时间4～8个月,平均5个月。均无断钉、感染、骨筋膜室综合征、再骨折、骨折畸形愈合等并发症发生。按照Thorsen股骨骨折术后形态评估标准评定疗效,优30例,良3例,可1例。
结论:在成人股骨干骨折复位内固定术中采用双摇杆技术,可使骨折获得良好的复位,缩短手术时间,创伤小,骨折愈合率高,并发症少,患肢功能恢复好,值得临床推广应用。 |
| [关键词]:股骨骨折 骨折固定术,髓内 正骨手法 |
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| Application of double joystick technique in reduction-internal fixation for femoral shaft fracture in adults |
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Abstract:
Objective: To study the applied value of double joystick technique in reduction-internal fixation for femoral shaft fracture in adults.
Methods: Thirty-four patients(24 males and 10 females) with femoral shaft fractures were treated with reduction assisted by double joystick technique and internal fixation with interlocking intramedullary nail from September 2010 to June 2013. The average age of the patients was 41 years old,ranged from 17 to 65 years old. The duration of the disease course ranged from 3 to 7 days,with a mean of 5 days. The fractures belonged to AO types 32A(5 cases),32B(20 cases) and 32C(9 cases) and located in left femur for 18 patients and right femur for 16 patients. The patients were followed up,and fracture healing and complications were observed. The curative effect were evaluated according to Thorsen femur fracture evaluation standard.
Results: The operative time ranged from 40 to 110 min (mean 75 min)and intraoperative blood loss ranged from 200 to 300 ml(mean 250 ml). All the patients obtained a good fracture reduction and were followed up for 12 to 24 months(mean 18 months) after the surgery. All the fractures united between 4 and 8 months with a mean of 5 months. No complications such as breakage of nail,infection,osteofascial compartment syndrome,refracture and fracture malunion were found. According to Thorsen femur fracture evaluation standard,30 patients obtained an excellent result,3 good and 1 fair.
Conclusion: In surgery of reduction-internal fixation for femoral shaft fracture in adults,the use of double joystick technique obtains good reduction result,short operative time,less injury,high healing rate of bone fractures,less complications and good limbs function,so it is worthy of popularizing in clinic. |
| KEYWORDS:Femoral fractures Fracture fixation,intramedullary Bone setting manipulation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王智勇,陈柯,田可为,叶晔.双摇杆技术在成人股骨干骨折复位内固定术中的应用[J].中国骨伤,2015,28(7):606~608 |
| 英文格式: | WANG Zhi-yong,CHEN Ke,TIAN Ke-wei,YE Ye.Application of double joystick technique in reduction-internal fixation for femoral shaft fracture in adults[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(7):606~608 |
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