有限切开交锁髓内钉治疗股骨干骨折的疗效分析

A Clinical Effect Analysis of Locking Intramedullary NailFixation with A Limited Open Reduction for Treatmenton Femoral Shaft Fracture

目的评价有限切开复位联合交锁髓内钉固定治疗股骨干骨折的方法与疗效。方法对2002年1月～2007年6月采用有限切开交锁髓内钉固定治疗的股骨干骨折72例,进行病例回顾性分析。结果本组手术时间50～90min,平均58min;术中出血量平均200ml。术后随访至少18个月,骨折愈合率100%,平均愈合时间6～8个月,对膝关节功能评定按照Hohl功能评价方法,本组优64例,良5例,可3例,优良率96%。结论有限切开交锁髓内钉固定既保持髓内钉固定不剥离骨膜、保留骨折端原始血肿的优势,又解决了闭合复位操作时间长。术中需多次X线透视的不足,其是一种固定可靠、创伤小、操作简单、理想的治疗股骨干骨折的手术方法。

Objective To explore the methods and curative effect of locking intramedullary nail with limited open reduction for treatment of femoral shaft fracture. Methods Retrospective analysis was conducted in 72 patients with femora lshaft fractures treated with limited open locking intramedullary nails from January 2002 to June 2007. Results The operative time ranged from 50 to 90 min, 60 rain on average,and the average bleeded was 200ml. All patients were followed up at least 18 months. The bone unionrate was 100% and the average bone union time was 6 -8months. According to the Hohl＇s score standard： the excellent were 64, the good were 5 ,and the exeellentand good rates were96%. Conclusion Interlocking intramedullary nail with limited o pen reductionis an ideal therapeutics method for femoral shaft fracture without periosteum Stripping and with fracture hematomaretained during operation. At the same ime,the surgery time is shorter and X-rad harm is avoided.The fixation is reliable and simple with less trauma.