交锁髓内钉联用植骨治疗股骨干复杂骨折

Treatment on Complex Fracture of Diaphysis of Femur by Intramedullary Interlock Nail Combined with Bone Grafting

目的探讨股骨干复杂骨折采用交锁髓内钉固定同时取自体髂骨植骨的治疗方法、临床疗效、并发症。方法对32例行交锁髓内钉钉固定，同时取自体髂骨植骨治疗股骨干复杂骨折进行回顾性分析。结果病人均随访并至取内固定物时，统计骨折愈合时间均较其它固定时间短，且术后肢体负重早。结论对于粉碎性、多段性股骨干骨折，陈旧性骨折，以及股骨干骨折术后内固定物断裂在一期手术时首选推荐采用交锁髓内钉固定同时取自体髂骨植骨治疗方法。

Objective To explore the treatment method, clinical treatment effects and neopathy of treating complex fracture of diaphysis of femur with fasting by intramedullary interlock nail in conjunction with bone grafting with ilium from the patient. Methods Retrospective analysis on cases in our department regarding treatment to com- plex fracture of diaphysis of femur with fasting by intramedullary interlock nail in conjunction with bone grafting of ilium from the patient were studied. Results From the patients＇ visit to the extraction of internal fastening objects, statistical bone fracture healing time was shorter than other types of fastening, and the recovery time of body weight load ability was earlier. Conclusion Treatment to complex fracture of diaphysis of femur with fasting by intramedullary interlock nail in conjunction with bone grafting with ilium from the patient is the first recommendation for comlninuted fracture, multiple segmental fracture of diaphysis of femur, old fracture and in phase one operation on fasting object fracture after operation on fracture of diaphysis of femur.