摘要
目的 探讨克氏针经皮辅助闭合复位交锁髓内钉内固定治疗股骨干骨折的有效性。方法 46例股骨干骨折患者,根据治疗方法不同分为观察组与常规组,每组23例。观察组使用克氏针经皮辅助闭合复位交锁髓内钉内固定治疗,常规组使用常规复位髓内钉内固定治疗。分析两组患者的并发症发生情况、闭合复位情况,比较手术时间、术中出血量和透视次数。结果 两组患者的手术过程均顺利完成。随访过程中未发生血管、神经损伤及内脏损伤等并发症。常规组患者中, 12例闭合完成复位, 11例闭合未能完成复位,行骨折端切开辅助复位插入导针;观察组患者均闭合完成复位。常规组手术时间为(81.75±10.56)min,观察组手术时间为(62.62±8.80)min;常规组术中出血量为(251.18±56.41)ml,观察组术中出血量为(122.64±27.99)ml;常规组透视次数为(20.25±3.76)次,观察组透视次数为(9.47±2.30)次。观察组的手术时间短于常规组,术中出血量、透视次数少于常规组,差异有统计学意义(P<0.05)。结论 在交锁髓内钉治疗股骨干骨折中,使用克氏针经皮辅助闭合复位,操作简便易学,安全性良好,效果确切,值得在临床上推广应用。
Objective To discuss the effectiveness of the treatment of femoral shaft fractures with closed reduction and interlocking intramedullary nail assisted by percutaneous Kirschner wire. Methods A total of 46 patients with femoral shaft fractures were divided into observation group and conventional group according to different treatment methods, with 23 cases in each group. The observation group was treated with closed reduction and interlocking intramedullary nail assisted by percutaneous Kirschner wire, and the conventional group was treated with conventional reduction and intramedullary nail. The incidence of complications, closed reduction were analyzed between the two groups. The operation time, intraoperative blood loss and times of fluoroscopy were compared between the two groups. Results The surgery was completed successfully in both groups. No complications such as vascular and nerve injury and visceral injury occurred during the follow-up. In the conventional group, 12 patients had closed and completed the reduction, 11patients had closed and failed to complete the reduction, and fracture end dissection was performed to assist in the reduction and insertion of guide pins;in the observation group, all patients had closed and completed the reduction. The operation time of the conventional group was(81.75±10.56) min, and the operation time of the observation group was(62.62±8.80) min;the intraoperative blood loss in the conventional group was(251.18±56.41) ml, and the intraoperative blood loss in the observation group was(122.64±27.99) ml;the times of fluoroscopy in the conventional group was(20.25±3.76) times, and the times of fluoroscopy in the observation group was(9.47±2.30) times. The operation time of the observation group was shorter than that of the conventional group, and the intraoperative blood loss and the times of fluoroscopy were less than those of the conventional group, and the differences were statistically significant(P<0.05). Conclusion Treatment of femoral shaft fractures with closed
作者
王瑞国
邓文杰
赵以瑜
邵明伟
WANG Rui-guo;DENG Wen-jie;ZHAO Yi-yu(Department of Orthopaedics,Rizhao Traditional Chinese Medicine Hospital,Rizhao 276800,China)
出处
《中国实用医药》
2022年第18期50-53,共4页
China Practical Medicine
关键词
股骨干骨折
克氏针经皮辅助闭合复位
交锁髓内钉
内固定
Femoral shaft fractures
Closed reduction assisted by percutaneous Kirschner wire
Interlocking intramedullary nail
Internal fixation
