摘要
目的通过对股骨带锁髓内钉治疗股骨干骨折患者分析,探讨影响术后下肢功能恢复的不利因素。方法对329例股骨干骨折行带锁髓内钉内固定术患者进行随访,其中单纯股骨干骨折294例、股骨干骨折合并转子下骨折35例。结果平均随访15个月(6～24个月),患者总有效率为95.44%,Barthel指数评分较术前显著改善。出现远端锁钉失败21例、骨折端劈裂5例、骨折延迟愈合12例、骨不连3例、膝关节屈曲受限23例、断主钉1例。结论扩髓型带锁髓内钉治疗股骨干骨折,疗效肯定,但需注意术前选钉合理、术中操作规范、术后康复训练指导应及时科学。
AIM: To perform an analysis on femoral shaft fracture patients treated with intramedullary interlocking nails in order to explore the misfactors for lower limb function restoration after operation. METHODS: Totally 329 patients treated with intramedullary interlocking nails were followed up, including 294 cases of simple femoral shaft fracture and 35 cases of femoral shaft fracture combined with subtrochanteric fracture. RESULTS: The mean time for follow up was 15 months(6-24 months). The total efficiency rate was 95.44%. Barthel index significantly improved. Distal nailing failure occurred in 21 cases, split of fracture end in 5 cases, delayed union in 12 cases, nonunion in 3 cases, flexion restriction of knee joint in 23 cases, brocken of main nail in 1 case. CONCLUSION:The intramedullary interlocking nails are definitely effective to treat femoral shaft fractures. But the suitable nails should be chosen preoperatively, operation should be standardized and rehabilitation guiding postoperation should be timely and scientific.
出处
《中国临床康复》
CSCD
2004年第23期4702-4704,共3页
Chinese Journal of Clinical Rehabilitation
