股骨重建髓内钉治疗股骨干骨折合并同侧股骨颈或转子间骨折(附15例报告)

Reconstruction Nail to Treat Femoral Shaft Fractures Concommitant with Ipsilateral Femoral Neck or Intertrochanteric Fractures(A Report of 15 Cases)

目的 :研究和评价股骨重建髓内钉治疗股骨干骨折合并同侧股骨颈或转子间骨折的临床疗效 ,探索治疗复杂类型股骨骨折的有效方法。方法 :从 1999年 10月至 2 0 0 1年 7月 ,对 15例股骨干合并同侧股骨颈或转子间骨折的病例采用股骨重建髓内钉治疗。结果 :所有病例随访 3～ 2 1个月 ,平均 14个月 ,骨折平均愈合时间 8个月。无术后感染、股骨头缺血环死及内固定材料断裂等并发症发生 ,患肢功能良好。结论 :股骨重建髓内钉治疗股骨干合并同侧股骨颈或转子间骨折是一种较理想的内固定方法 ,具有手术创伤小、失血少、固定可靠等优点。闭合复位对骨折端血供破坏小 ,符合生物学固定原理 ,有利于骨折愈合。

Objective:To study and evaluate the clinical result of the reconstruction nail for femoral shaft fractures concommitant with ipsilateral femoral neck or intertrochanteric fractures.To explore the effective methods of the complex types of femoral fractures.Method:From Oct 1999 to July 2001,reconstruction nail was used in 15 patients to treat femoral shaft fractures concommitant with ipsilateral femoral neck or intertrochanteric fractures.Result:The follow-up ranged from 3 to 21 months with an everage of 14 months.The average time of fractures union was 8 months.All cases had good function of their lower extremities after operation.There were no infection,ischemic necrosis of femoral head and fractures of nail.Conclusion:Reconstruction nail to treat femoral shaft fractures concommitant with ipsilateral femoral neck or intertrochanteric fractures is a good method.It has the advantages of less trauma,less bleeding and reliable fixation.Close reduction can preserve the blood supply at the fracture site.The whole procedure belongs to biologic techniques and benefits fractures healing.