带锁髓内针治疗难愈性股骨干骨折

Interlocking Intramedullary Nail In Treatment Of Refractory Femoral Fracture

目的:在应用带锁髓内针治疗股骨干骨折的病例中,对于可能出现延期愈合及不连接的病例通过预判并采用有效的措施,探讨疗效。方法:根据影响骨折愈合的因素并总结以往病例,制定判断标准,属于难愈性骨折的病例,治疗中采用相应对策,观察疗效并与以往用常规治疗方法治疗的病例进行疗效对比。结果:此方法疗效满意并优于以往常规疗法。结论通过预判并采用有效的措施可减少骨折延期愈合及骨不连的发生。

Objective： To distinguish refractory femoral fracture before operation and to carry some special measures out in the treatment with interlocking intraemdullary nail,then explore the clinical effect . Methods： According to the factors which influence fracture healing and some prevenient cases,some criterions were made in order to distinguish refractory femoral fracture before operation with interlocking intramedullary nail. Dynamic fixation and other special measures are carried out in their treatment. The clinical effect was observed and compared with that of conventional method. Results： The clinical effect of this method was satisfactory and superior than that of conventional method. Conlusion： Delayed union and nonunion could be avoided effec- tively by distinguishing refractory femoral fracture before operation and carrying out some special measurs in the treatment with interlocking intraemdullary nail.