摘要
目的 :介绍并分析逆行股骨交锁髓内钉治疗股骨髁部骨折的方法及注意事项 .方法 :应用逆行股骨交锁髓内钉治疗股骨髁部骨折 10例 ,按AO分类 33A型 6例 ,33C1型 2例 ,33C2型 2例 .结果 :随访平均 9月 (6～ 12月 ) ,10例患者平均骨性愈合时间 16 8周 (12～ 2 8周 ) ,达到骨愈合按Neer等的评分标准 3例优秀(≥ 85分 ) ,6例好 (≥ 70分 ) ,1例中 (≥ 5 5分 ) ,没有差 (≤ 5 5分 ) .结论 :应用逆行股骨髓内钉治疗股骨髁部骨折具有高强度、低创伤、减少骨膜剥离和出血量、减少内外翻畸型发生、低感染率、利于早期活动关节、手术操作简便等优点 .手术的关键在于复位时的轴向对线、短缩与旋转的纠正 .
Objective: To introduce the method of the treatment of femoral condylar fracture with the retrograde intramedullary nail. Methods: 10 cases of femoral condylar fractures were treated with the retrograde intramedullary nail. There were 6 AO/ASIF 33A, 2 AO/ASIF 33C1,2 AO/ASIF 33C2. Results: A shorter period follow-up was given. Mean 9 months(6-12 months), 10 cases union mean 16.8 weeks(12-28 weeks). Using the Neer scoring system, there were 3 excellent (85 or more points), 6 good (70 or more points), 1 fair (55 or more points), none of the cases was considered failure (less than 55 points). Conclusions:The use of the retrograde intramedullary nail offers some advantages: sufficient stiffness, decreased complications, provide with benefits of knee joint motion, no deep infaction, no knee problems, and decreased injuries of the soft-tissue. Intraoperative determination of alignment, avoiding shortening and torsion were the major difficulties.
出处
《昆明医学院学报》
2002年第4期39-42,共4页
Journal of Kunming Medical College
