重建钉治疗复杂股骨骨折临床观察

Clinical observation of reconstruction nail in the treatment of complex femoral fracture

目的观察重建钉治疗复杂股骨骨折(股骨干骨折合并同侧股骨颈或转子间骨折)的临床效果。方法将18例应用重建钉治疗复杂股骨骨折患者按骨折类型分为2组,将股骨干骨折合并同侧股骨颈骨折9例设为A组,将股骨干骨折合并同侧转子间骨折9例设为B组,观察治疗效果。结果所有患者均骨性愈合,A组愈合时间4～8个月,中位数5.8个月;B组愈合时间3.5～7个月,中位数5.1个月。未发现股骨头坏死及股骨干骨折不愈合病例。A、B组漏诊率分别为33.3%和11.1%,A、B组优良率分别为77.8%和100.0%。结论重建钉是治疗复杂股骨骨折较好的内固定材料。

Objective To observe the clinical effect of reconstruction nail in the treatment of complex femoral frac- ture. Methods 18 cases patients of reconstruction nail in the treatment of complex femoral fracture were divided into two groups according to the type of fracture,9 cases patients of femoral shaft fracture with ipsilateral femoral neck fracture were set as group A,9 cases patients of femoral shaft fracture combined with ipsilateral intertrochanteric fracture were set as group B. Observed the curative effect. Results All patients were healed, healing time of group A was 4 ~ 8 months, median time was 5.8 months ; Healing time of group B ranged from 3.5 to 7 months, median time 5.1 months. No cases was found in femoral head necrosis and nonunion of femoral shaft fracture. Group A, group B misdiagnosis rates were 33.3% and 11.1% , satisfacto- ry rates were 77.8% and 100. 0%. Conclusion Reconstruction nail is a better internal fixation material in treatment of com- plex femoral fracture.