摘要
作者从１９８８～１９９５年末用Ｇｒｏｓｅ－ｋｅｍｐｆ钉（简称ＧＫ钉）治疗股骨干骨折４９例（５０个股骨），其中新鲜骨折２９例（３０个股骨），陈旧性骨折１６例，病理骨折４例。外伤性骨折４５例中，随访半年以上４３例，骨折全部愈合，下肢功能及关节活动良好。４例病理骨折，其中３例术后分别存活１６个月、１８个月、２４个月，另１例为成骨不全，术后患肢功能较健侧无差别。ＧＫ钉扩大了髓内钉手术适应证，可用于股骨干的粉碎性骨折、多发性骨折、陈旧性骨折不愈合及病理性骨折。对于合并脑干损伤、血管损伤、骨筋膜室综合征的股骨干骨折，用ＧＫ钉固定，获得了理想的治疗效果。
Forty nine cases of femoral shaft fractures treated with GK nail were reviewed.There were 29 fresh,16 old and 4 pathological fractures.43 of 45 patients with traumatic fracture were followed up for more than 6 months and all healed up well.In the 4 pathological fractures (2 cases were caused by metastatic carcinoma),3 died at 16,18 and 24 months after operation respectively.The remaining one with osteogenesis imperfecta had a good function similar to the health side.GK nail has a interlocking ability to prevent rotation and shortening displacement.It can be used in comminuted fractures,multiple segmental fractures,nonunion and pathological fractures of the femoral shaft.Good results also have been achieved in the treatment of femoral fractures concomitant with brain stem injury,main arterial rupture and osteocompartmental syndrome in this series.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1997年第4期240-243,共4页
Chinese Journal of Orthopaedics
