牵引床辅助闭合复位逆行髓内钉治疗股骨中下段骨折11例

11 Cases Study of Closed Reduction and Retrograde Intramedullary Nailing in Traction Bed on the Treatment of Middle and Lower Femoral Shaft Fractures

目的:探讨牵引床辅助闭合复位逆行髓内钉治疗股骨中下段骨折的临床疗效。方法:回顾性分析11例采用牵引床辅助闭合复位逆行髓内钉治疗股骨中下段骨折患者的临床资料,观察术中透视次数、术中出血量、手术时间、骨折愈合时间以及膝关节功能HSS评分。结果:11名患者均获得随访,随访时间为13~24个月。术中透视次数为(11.36±2.38)次,术中出血量为(123.64±13.05)mL,手术时间为(99.64±10.52)min,骨折均愈合,愈合时间为(26.55±2.11)周,末次随访患者膝关节屈曲角度平均为127.91°±4.06°,HSS评分为(91.00±2.79)分,疗效优良。结论:牵引床辅助闭合复位逆行髓内钉治疗股骨中下段骨折,具有创伤小、手术时间短、骨折愈合快、功能恢复好等显著优势。

Objective:To investigate the clinical efficacy of closed reduction and retrograde intramedullary nailing in traction bed to treat middle and lower femoral shaft fractures.Methods:The clinical data of 11 patients with middle and lower femoral shaft fractures treated with closed reduction and retrograde intramedullary nailing in traction bed were retrospectively analyzed.The fluoroscopy times,blood loss,operation time,fracture healing time and HSS score for knee function were recorded.Results:All 11 patients were followed up for 13 to 24 months.Intraoperative fluoroscopy times were(11.36±2.38)times,intraoperative blood loss were(123.64±13.05)mL,operation time were(99.64±10.52)min,all fractures healed and fracture healing time were(26.55±2.11)weeks,knee flexion angle in patients at final follow-up were(127.91°±4.06°),HSS score were(91.00±2.79).The overall score was excellent.Conclusion:Closed reduction and retrograde intramedullary nailing in traction bed for middle and lower femoral shaft fractures has significant advantages such as less trauma,shorter operative time,faster fracture healing and better functional recovery.