摘要
目的 :分析股骨下 1 / 3段骨折内固定失败的原因并评价治疗方法。方法 :回顾分析 6年间收治的 1 9例股骨下 1 / 3段骨折内固定失败病例。结果 :1 9例中内固定物折断 1 0例 ,弯曲、松动 9例 ;内固定物失效发生在术后 5个月之内及部分负重者居多 ;1 2例应用带锁髓内钉治疗 ;1 1例在固定术同期行膝关节粘连松解。结论 :股骨下 1 / 3段骨折内固定失败是由于解剖因素、骨折复位不足、内固定物选用不当和过度康复训练等多因素所致 ;带锁髓内钉是再固定的较理想方法。
Objective: To analyzse the causes and assess the treatment of failure in internal fixation used for distal one third femoral fractures. Methods: Nineteen patients with internal fixation failure for distal one third femoral fractures in the last 6 years were reviewed. Results: In the 19 cases, internal fixation appliance were broken in 10 cases, bending and loosening in 9 cases; the majority of failure occured within 5 months postoperatively during the time of partial weight-bearing; 12 cases were treated by interlocking nailing; in 11 cases a knee joint adhesion release operation were performed internal fixation simultaneously. Conclusion: The causes of internal fixation failure for distal one third femoral fracture are composed of the following factors: factor of anatomy, imperfect anatomic reduction of fractures, improperly used internal fixation appliances and excess-rehabilitation exercise. Interlocking nailing is a rather ideal method for internal fixation treatment.
出处
《中国矫形外科杂志》
CAS
CSCD
2002年第12期1171-1173,共3页
Orthopedic Journal of China
