摘要
目的探讨小切口手指引导复位带锁髓内钉近端锁入可吸收螺钉治疗狭部以远A型和B型股骨干骨折的手术方式及疗效。方法自2004年6月～2005年6月,对14例狭部以远A型和B型股骨干骨折取小切口手指引导复位带锁髓内钉近端锁入可吸收螺钉。结果手术时间60～120min,平均75min。骨折小切口处失血5～10mL。本组14例骨折均达或接近解剖对位。平均随访16个月,骨折临床愈合时间平均12周(10～14周),无骨延迟愈合及骨不愈合,无感染,无主钉断裂,无骨吸收,无股骨旋转及缩短畸形,髋膝关节功能均达术前,无膝关节内外翻发生,10～14个月内该组带锁髓内钉均顺利取出。结论小切口手指引导复位带锁髓内钉近端锁入可吸收螺钉是治疗狭部以远A型和B型股骨干骨折的简易理想方法,具有操作简便,创伤小,"自然"转为动力固定,骨折愈合快,关节功能恢复好,减少二次取钉手术痛苦等特点,值得推广应用。
[Objective] To explore the operative manners and its effects of antegrade interlocking intramedullary nail of near locking absorbable screw in treating femoral shaft fractures of type A and B distal to the isthmian with finger reduction by mini-incision. [Methods] Fourteen cases of femoral shaft fractures of type A and B distal to the isthmian were treated by finger leading reduction in mini-incision and antegrade interlocking intrameduUary nail of near locking absorbable screw from June 2004 to June 2005. [Results] Operation time was 60 to 120 min, average 75 min. The bleeding of mini-incision was 5-10 mL. All of the patients were followed up for an average period of 16 months. The factures were all restored significandy. The average fracture clinical healing period was 12 weeks （10-14 weeks） without delayed unions and nonunion, infection, broken nail, absorbable bones＇ any change in the function of hip and knee joint before operation, and occurred genu varum and genu valgum. The antegrade interlocking intramedullary nails were taken out in 10-14 months. [Conclusion] The antegrade interlocking intramedullary nail of near locking absorbable screw in treating femoral shaft fractures of type A and B distal to the isthmian with finger reduction in mini-incision is an easy effectual device, lie in small investment, mini invasion, easy operation, rapid healer of the fracture, changing power fixtion naturally, good function of the joint, and it may be applied to clinic widely.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第20期2512-2515,共4页
China Journal of Modern Medicine
关键词
小切口
手指引导复位
带锁髓内钉
可吸收螺钉
近端锁入
A型和B型股骨干骨折
mini-incision
finger leading reduction
antegrade interlocking intramedullary nail
absorbable screw
near locking
femoral shaft fractures of type A and B
