摘要
目的 比较分析应用不同内固定方法治疗股骨远端骨折的疗效。方法 对 86例成人股骨远端骨折应用切开复位分别 L形钢板 (30例 )、动力髁螺钉 (Dynamic Condylar Screw,DCS) (2 2例 )、髁上交锁髓内钉 (36例 )固定的方法进行治疗 ,术后随访 1a以上 ,对其骨折愈合时间、膝关节活动度、短缩及畸形、步态等四项指标进行评价。结果 3种固定方法优良率分别为 33% (10 /30 )、36 % (8/2 2 )、83% (30 /36 )。 L形钢板与动力髁钢板相比 ,无显著差异 ,两者与髁上交锁髓内钉相比 ,后者明显优于前两者。结论 髁上交锁髓内钉内固定是目前治疗股骨远端骨折的最好方法 ,愈合率高 。
Objective To compare the results of three internal fixation methods for distal femoral fracture.Methods 86 cases of distal femoral fracture were treated with open reduction and internal fixation,including 30 cases with L shaped plate,22 cases with AO-DCS bolt,and 36 cases with supracondylar interlocking nail.All the cases were followed up for more than one year after operation and we evaluated fracture union time,movement of knee joint,malformation and walk gait.Results The excellent and good rate are 33%(10/30)for L shaped plate,36%(8/22)for AO-DCS bolt and 83%(30/36)for supracondylar nail.There is no statistical difference between L shaped plate and AO-DCS bolt,but significant statistical difference between supracondylar nail and them two.Conclusion The internal fixation with supracondylar interlocking nail,with high union rate and good joint function recovery,is the best method for distal femoral fracture.
出处
《实用骨科杂志》
2005年第1期75-77,共3页
Journal of Practical Orthopaedics
