摘要
目的根据股骨远近段的解剖特点,分析股骨交锁髓内钉置入操作失误的原因及处理对策,以提高交锁髓内钉置入的成功率。方法自2002年1月～2006年3月,笔者观察210例股骨远近段骨折交锁髓内钉的置入过程,并对股骨远近端松质骨髓腔高度进行测量。结果132例操作顺利,78例出现交锁髓内钉置入失误,采用自制髓腔轴线控制棒校正开口处骨道轴线,取得满意效果。结论开口处骨道轴线与髓腔轴线同轴是交锁髓内钉置入的关键,出现失误时不能使用暴力,需校正开口轴线,重新置入髓内钉。
Objective To analyze the causes and countermeasures of operation error of femur interlocking intramedullary nail insertion according to the anatomical characteristics of distal and proximal femur and to popularize the use of interlocking intramedullary nail successfully. Methods From January 2002 to March 2006, 210 patients with distal and proximal femoral fractures treate.d with inl;ramedullary hail insertion were observed and the marrow cavity height of the cancellous bone was measured. Results Success was achieved in 132 patients while error occurred in 78 but the final results became satisfactory after correcting the bone axis of operation by using the self - made control stick of marrow cavity axis. Conclusion The interlocking intramedullary must be inserted in the same axis as the operating bone and the marrow cavity axis. Operating axis need to. be corrected instead of using force if in error, and the interlocking intramedullary need to be inserted again.
出处
《中国骨与关节损伤杂志》
2007年第2期113-115,共3页
Chinese Journal of Bone and Joint Injury
关键词
股骨远近段
骨折
髓内钉
髓腔轴线
Distal and proximal femur
Fracture
.Intramedullary nail
Marrow cavity axis
