摘要
[目的]探讨股骨重建钉（RIN）治疗股骨粗隆下骨折（SFF）的手术方法及临床疗效。[方法]1998年6月-2005年5月，采用RIN技术对4JD例SFF患者进行固定，其中男27例，女13例；年龄22．．75岁。平均43．5岁。依据Seinsheimer分类：Ⅱ型5例，Ⅲ型13例，Ⅳ型21例，Ⅴ型1例。高能量损伤33例，低能量损伤7例。开放性骨折3例。[结果]4JD例随访8个月-2a6个月，平均1a8个月。X线片观察骨折愈合时间4．2月（3．2-6．5月）。按照韩一生评分标准，优26例，良12例，可2例，优良率95％。无感染、内固定失效、畸形愈合及股骨头缺血性坏死等并发症。[结论]RIN技术是治疗SFF的一种有效方法，具有固定可靠、并发症少、骨折愈合率高等优点。精细的手术操作是手术成功的关键。
[Objective]To investigate the surgical techniques and clinical result of the treatment of subtrochanteric femoral fracture（SFF） with the reconstruction interlocking nail（RIN）. [ Method] A total of 40 cases （27 males and 13 females, at age ranged from 22 years to 75 years, mean 43.5 years） with SFF were fixed with RIN in our hospital from June 1998 to May 2005. The fractures were classified according to Seinsheimer, the type Ⅱ 5 cases,type Ⅰ 13, type Ⅳ 21 and type Ⅴ 1.33 patients sustained high - energy injury, and 7 low - energy Three cases were open fractures. [ Result ] The followed - up period ranged from 8 months to 2 years and 6 months with an average of i year and 8 months. The average time for bony union on xray was 4.2 months （from 3.2 to 6. 5 months）. According to HANg scoring system there were 26 excellent cases, 12 good cases and 2 fair cases. The excellent and good rate was 95%. There was no severe complications, such as incision infection, fixation failure, deformity or ischemic necrosis of femoral head. [ Conclusion] RIN is an effective operation for treatment of SFF. This method has obvious advantages of reliable fixation, few complications and the high bone union rate. Meticulous surgical techniques is the key of success for the operation.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第18期1372-1374,共3页
Orthopedic Journal of China
关键词
股骨粗隆下骨折
股骨重建钉
内固定
subtrochanteric femoral fracture
reconstruction interlocking nail
internal fixation
