交锁髓内钉固定结合骨泥回植治疗股骨干骨折不愈合的护理

Nursing of nail fixation combined with bone cement replantation treatment of femoral shaft nonunion

目的:探讨交锁髓内钉固定结合扩髓之骨泥回植治疗股骨干骨折不愈合的围手术期护理特点。方法:交锁髓内钉固定并将扩髓时产生的骨泥回植于骨折端治疗股骨干骨折不愈合29例,其中男23例,女6例。年龄26～54岁,平均39.5岁。术后48h拔引流管,使用抗生素预防感染3d,所有患者均未行外固定,摄X线片根据骨折稳定情况进行关节功能锻炼。结果:29例平均骨性愈合时间为47周,膝关节功能较术前明显改善,无感染、肢体短缩、旋转或成角畸形,无内固定断裂等并发症。结论:交锁髓内钉固定结合扩髓之骨泥回植治疗股骨干骨折不愈合,术前心理辅导、术前准备、术中配合监护、术后康复训练等环节护理对手术成功至关重要。

Objective：Diseussion the characteristics of perioperative nursing of locked reamed intrameduUary nailing for replantation of the bone cement treatment of femoral shaft fracture nonunion. Methods：Care line locked intramedullary reaming and nailing of the bone cement when replantation in the treatment of femoral shaft fracture nonunion in 29 cases, male 23 cases, six cases of women ; age 26 - 54 years old, average 39.5 years old. After surgery 48 h the drainage tube out, the use of antibiotics to prevent infection in 3 d, not all patients with external fixation line, taken X - ray conducted in accordance with the stability of articular fracture functional exercise. Results ： Average of 29 cases of bone healing time for 47 weeks, pre - operative knee function improved significantly compared with no infection, limb shortening, rotation or angulation deformity, no complications such as fracture fixation. Conclusion： Lcked reamed intramedullary nailing for replantation of the bone cement treatment of femoral shaft fracture nonunion of perioperative nursing, with emphasis on pre - operative osycholozical, oreooerative oreoaration, intraooerative with guardianship, such as postooerative rehabilitation care.