逆行交锁髓内钉治疗股骨髁上骨折

Treatment of Fractures of Supracondylar Femur by Retrograde Interlocking Intramedullary Nailing

目的 总结逆行交锁髓内钉内固定治疗股骨髁上骨折的临床效果。方法 采用逆行交锁髓内钉内固定治疗 5 0例股骨髁上骨折 ,术后指导早期功能锻炼 ,即术后 72h开始指导患者行患肢股四头肌等长舒缩锻炼及膝关节屈伸活动锻炼。结果 5 0例随访 4～ 2 4个月 ,平均 1 0个月 ,骨折在 3～ 8个月内愈合 ,膝关节功能恢复良好 ,优良率 96%。结论 逆行交锁髓内钉内固定治疗股骨髁上骨折具有稳定性高 ,固定牢靠 ,操作简单安全的特点 ,术后指导早期功能锻炼 ,骨折愈合快、并发症少 ,是一种比较理想的治疗方法。

Objective To investigate the clinical effect of retrograde interlocking intramedullary nail for supracondylar femur fractures. Methods The retrograde i nterlocking intramedullary nails were used for 50 cases of fractures of the supr acondylar femur.The patients were directed to taking function exercise 72h after operation. Result 50 cases were followed up for 4～24 months,10 months on avera ge.The time of bone healing was 3～8 months.The knee function recovered well wit h excellent result rate of 96%. Conclusion Retrograde interlocking intramedullar y nails can ensure intrinsic stability with simple procedures.Function exercise can be used soon after operation to ensure quick fractures healing and have fewe r complications.It is an optimal measures for fractures of supracondylar femur.