摘要
[目的]评价扩髓带锁髓内钉治疗下肢长骨干骨折的临床疗效.[方法]均采用国产带瞄准器交锁髓内钉,股骨干33例,股骨髁上7例,胫骨45例.闭合骨折按AO分型:A型18例,B型38例,C型19例.开放骨折10例(Gustilo Ⅰ型7例,Gustilo Ⅱ型3例).以小切口开放复位,顺行扩髓并静力锁钉固定.[结果]平均随访时间12个月(8～24个月),骨折均骨性愈合,平均愈合时间为5个月(3～12个月).术后无急性感染和深部感染发生,无断钉及脂肪栓塞等并发症,邻近关节功能恢复好.[结论]小切口开放复位、扩髓、静力锁钉治疗下肢新鲜长骨干骨折,骨折愈合快,早期活动和功能恢复满意.无断钉、骨折再移位、感染率明显升高等优点,是治疗下肢长骨干骨折较好的方法.
[ Objective] To evaluate the clinical effect of treating lower limb long bone diaphysis fractures with marrow enlarging inter-iocking intramedullary nail, [ Method] All the cases were treated with target aiming inter-locking intramedullary nails that were made in China. The fractures occurred in femoral diaphysis in 33 cases ; in femoral supracondylar process in 7 cases ; in tibia in 45 cases. According to the AO classification, there were totally 75 cases of closed fractures which included 18 cases of A type; 38 cases of B type; and 19 cases of C type. There were another 10 cases of open fractures which included 7 cases of Gustilo Ⅰ type and 3 cases of Gustilo Ⅱ type. Postoperative follow-up was carried out with an average time of 12 months （ from 8 to 24 months）, All fractures had bony unions with an averaged knitting time of 5 months （from 3 to 12 months）, No acute or deep infections, no complications such as fat embolism or nail breaking were found after the operation. The function of nearby joint resumed well. [ Conclusionl The fracture can knit well if treated with marrow enlarging inter-locking intramedullary nail, and early-stage activities and functional recovery will be satisfactory as well. Ideal result can be achieved without nail breaking, without second time removing and without higher infection rate. It is a recommended method to treat lower limb long bone diaphysis fractures.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第18期1387-1389,共3页
Orthopedic Journal of China
