三种髓内针治疗股骨干骨折的临床疗效比较

The Clinical Comparison of Three Kinds of Intramedullary Nails in Femoral Shaft Fractures

目的 :比较三种髓内针治疗股骨干骨折的治疗效果。方法 :回顾性分析普通梅花针、组合式防旋髓内针和带锁髓内针治疗的股骨干骨折病人 14 5例 ,对手术方法、固定特点及疗效进行比较。结果 :平均随访 17个月 ,普通梅花针组 :平均愈合时间 6.5个月。Klemn功能评定优良率 76%。组合式防旋髓内针组 :平均愈合时间为 6.2个月。优良率81.2 %。带锁髓内针组 :平均愈合时间为 6个月。优良率 97.6%。结论 :带锁髓内针对不同类型不同部位的股骨干骨折均有良好疗效 ,普通梅花针和组合式防旋髓内针在其适应证内有较好疗效。

Objective: To compare three kinds of intramedullary nails in femoral shaft fractures.Methods:One hundred and froty-five cases femoral shaft fracture who had been treated by Küntschers nail,combined antirotation intramedullary nail(CAIN)and interlocking nail were analyzed retrospectively.Result:Averaged follow-up period were 17 months.Küntscher's nail team:Average union time were 6.5 months.The rate of excellence with Klemn evaluation was 76%.Combined antirotation intramedullary nail team:Average union time were 6.2 months.The rate of excellence with Klemn evaluation was 81.2%.Interlocking nail team:Average union time were 6 months.The rate of excellence with Klemn evaluation was 97.6%.Conclusion:The curative effects of every type of femoral shaft fractures treated by interlocking nail is satisfied.It is also satisfied that the curative effects of femoral shaft fractures are treated by Küntschers nail or CAIN,if the indication is correctly chosen.