摘要
[目的]探讨一期交锁髓内钉（IIN）内固定治疗双侧股骨干骨折（FSF）的疗效和应用价值.[方法]自1998年3月～2005年3月,21例双侧FSF采用一期IIN治疗.年龄29～48岁,平均39.6岁,闭合性骨折35肢,开放性骨折7肢.其中股骨上1/3段18肢,中1/3段11肢,下1/3段13肢.术后平均5 d开始CPM功能锻炼.[结果]21例均获得随访,随访时间6～32个月,平均11.5个月.所有骨折均获得骨性愈合,平均愈合时间15.5周.无脂肪栓塞综合征（FES）、肢体短缩、感染及断钉发生.远期疗效按马元璋标准评定,肢体关节功能恢复优良率90.5%（19/21）.[结论]应用一期IIN治疗双侧FSF,具有创伤小、术中出血少、固定牢靠、骨折愈合时间短、允许双膝关节早期功能锻炼和术后并发症少等优点,可获得满意疗效,值得推广.FES的预防要予以重视.
[ Objecive] To investigate the efficacy and the application value of interlocked intramedullary nailing （IIN） for bilateral femoral shaft fracture （FSF）. [ Method] Twenty-one cases of bilateral FSF were treated by IIN between March 1998 and March 2005. Their average age was 39.6 （ ranged 29 - 48 ）. Thirty-five limbs of them were closed fractures, and 7 limbs were opened. Among them, 18 limbs had fractures in the upper third of the femoral shaft, 11 limbs in the middle third and 13 limbs in the lower third. The continuous passive motion began averaging 5 days after operation. [ Result ] The average follow-up period was 11.5 months （6 to 32 months）. Clinical bone healing was achieved after 15.5 weeks （ 10 - 30 weeks）. NO fat embolism syndrome（FES）, sbortening,infection or break of nail occurred in all patients. The long term effect was evaluated according to Ma Yuanzhang＇s evaluation standard, 90.5% （19/21 ） showed excellent function of joints and limbs. [ Conclusion ] IIN provides a satisfied approach to the treatment of bilateral FSF. It has the advantages of fewer invasions, less blood loss, steady fixation, short healing time, early function recovery and less complication. This kind of treatment is worth to be recommended for the bilateral FSF, prevention of FES should be emphasized on.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第10期743-745,共3页
Orthopedic Journal of China
关键词
股骨干骨折
交锁髓内钉
手术治疗
：Femoral fracture
Interlocking intramedullary nail
Surgical treatment
