带锁髓内钉治疗股骨干骨折

Treatment of femoral shaft fracture with interlocking intramedullary nail

目的 :探讨带锁髓内钉治疗股骨干骨折的经验。方法 :手术采用闭合或小切口复位、扩髓、静力固定 ,使用瞄准器锁定。结果 :随访 6～ 1 8个月 ,所有骨折均一期愈合。远期疗效按马元璋评定标准 :优 39例 ,良 1 7例 ,差 4例。结论 :带锁髓内钉治疗股骨干骨折固定可靠、愈合良好、关节功能恢复快、操作简单、并发症少 。

Objective:To sum up the experience in treating femoral shaft fracture with interlocking intramedullary nail.Methods:Sixty two cases of femoral shaft fractures were treated with close reduction or limited open reduction,reamed marrow cavity and static fixation and target devices were used to lock the fracture.Results:All the cases were followed up for 6 to 8 months.All the fractures were healed.The effect was excellent in 39 cases,good in 17 cases and poor in 4 cases according to the criteria of Ma Yuanzhang.Conclusions: Interlocking intramedullary nail is the choice of treatment for femoral shaft fracture.It has the advantages of firm fixation,good healing,good articular function,few complications and manipulation easy.It is worth popularizing.