股骨干骨折——逆行穿钉与顺行穿钉的探讨

Femoral shaft fractures Retrograde versus antegrade approach

在对股骨骨折进行逆行和顺行置入髓内钉治疗时,两种治疗方法产生很高的愈合率和相近的畸形愈合率。虽然未经过一致的认定,但那些接受顺行穿钉治疗的患者愈合较快。患者在接受逆行穿钉治疗后膝关节疼痛频繁出现,然而髋关节疼痛和异位骨化现象却在接受顺行穿钉治疗的患者中存在。患其它并发症的几率也无显著增长。因此不能决定功能结果。

It appears that both the retrograde and antegrade approaches to treating emoral fractures yield high union and similar malunion rates. Those receiving antegrade nailing may heal faster although this is not consistent. Knee pain appears common after retrograde nailing, whereas there are consistent findings in hip pain and heterotopic ossification predominating in those patients receiving antegrade nailing. Neither appears to significantly increase the risk of other complications. Functional outcomes cannot be determined.