逆行带锁髓内钉治疗股骨髁上或髁间骨折伴股骨干骨折

Retrograde intramedullary interlocking nail for the treatment of femoral supracondylar of intercondylar fractures with femoral shaft fractures

目的评价逆行带锁髓内钉治疗股骨髁上或髁间骨折伴股骨干骨折的效果。方法对 3例股骨髁上骨折伴股骨干骨折 ,6例股骨髁间骨折伴股骨干骨折患者 ,均采用逆行带锁髓内钉固定。结果随访 7～ 2 0个月 ,平均 10个月 ,所有病例均获骨性愈合 ,平均骨折愈合时间 6个月 ,患肢膝关节活动功能良好。结论对股骨髁上或髁间骨折伴股骨干骨折的治疗 ,用逆行带锁髓内钉治疗 ,有明显的优势 ,效果满意。

Objective To assess the clinical outcome of retrograde intramedullary interlocking nail in the treatment of femoral suplracondylar or intercondylar fracture with femoral shaft fracture.Methods 3 cases of femoral supracondylar fracture with femoral shaft fracture and 6 cases of intercondylar femoral fracture with femoral shaft fracture experienced the fixation with retrograde intramedullary interlocking nail.Results The patients were followed up for 7～ 20 months,on an average of 10 months.All the patients recovered in an average time of 6 months,with excellent knee joint movement.Conclusion Retrograde intramedullary interlocking nail has obvious advantages in the treatment of femoral supracondylar or intercondylar fracture with femoral shaft fracture and the clinical outcome is satisfactory.