重建钉治疗股骨颈干骨折

Treatment of ipsilateral femoral shaft and neck fracture by reconstruction nail

目的探讨重建型交锁髓内钉在股骨复杂骨折中的应用。方法10例创伤性股骨颈干骨折重建型交锁髓内钉固定。结果10例获得随访10～43个月,平均25个月。1例骨感染经处理后骨延迟愈合,未出现交锁钉断裂及股骨头坏死等并发症,本组优5例,良4例,可1例,优良率为90%。结论同侧股骨颈合并股骨干的复杂股骨骨折,选择重建型交锁髓内钉固定较为合适。本方法创伤小、并发症少,固定牢固,可早期功能锻炼,功能恢复良好。

Objective Investgate the clincial effect of reconstruction nail treatment ofipsilateral femoral shaft and neck fracture. Methods Ipsilateral femoral shaft and neck fracture 10 cases treatment with reconstruction nail. Results All of the patients were follow-up,the average length was 25 months（rang 10- 43 months）.One case bone delay healing after infection, no internal fixation failure and femoral head osteonecrosis happened.Assessed liuxinyan scoring system, excellent 5 case, good 4 cases and fair 1 cases, good to excellent in 90% of all cases. Conelesion It was an effective method that Ipsilateral femoral shaft and neck fracture 10 cases treatment with reconstruction nail.It was minimally invasive, solid fixation,functional exercise can be started at early stage.