股骨干骨折内固定方法的应用选择(附253例疗效分析)

Selection of Internal Fixation Method in Femoral Shaft Fractures(A Report of 253 Cases)

目的：股骨干骨折的内固定方法很多，应用时需根据病者不同类型骨折选择合适的内固定方法，使骨折复位固定后起到稳固的固定作用。方法：本组２５３ 例中，采用梅花型髓内针固定１６９ 例，自动加压钢板７１ 例， Ｌ－ 梯形加压钢板１３ 例。结果：梅花髓内针１６９ 例，治愈１６１ 例，３ 例折弯，５ 例失稳，治愈率９５．１％ ；自动加压钢板７１ 例，治愈６９例，钢板螺钉松动 ２ 例，治愈率９７．２％ ； Ｌ－ 梯形加压钢板１３ 例，全部治愈。结论：应用结果表明，股骨中、上段骨折首选梅花髓内针或自动加压钢板，下段骨折应选用自动加压钢板或 Ｌ－ 梯形加压钢板方法治疗。

Objective:To determine the method of internal fixation of the variety of femoral shaft fractures.Method:in 253 patieats,169 cases were treated with medullary nail,71 cases with dynamic compression plate(DCP) and 13 cases with L trapezoidal compression plate(L-TCP).Results:In the medullary nail group,there were 3 cases of nail bended,5 cases of nail nustable,the excellent rate was 95.1%;In the DCP group,Screw pulling out with plate loosening were seen in 2 cases,the excellent rate was 97.2%;In the L-TCP group,the excellent was 100%.Conclution:medullary nail or DCP is suitable for the treatment of fracture of the upper,middle third of femoral shaft,and in the lower third,thd DCP or L-TCP should be selected.