摘要
目的 :探讨股骨髁上逆向交锁髓内钉在股骨髁上陈旧性骨折病例中的应用价值。方法 :1997年～ 2 0 0 2年采用静力型交锁技术对 11例股骨髁上陈旧性骨折病例行骨折矫形后应用经髁交锁髓内钉治疗 ,1例术后 6 .5月改动力型交锁固定 ,6例患者同期行植骨术。全部病例术中采用手法和手术松解膝关节 ,术后辅以持续被动活动。结果 :随访10～ 35个月 ,骨折均愈合 ,愈合时间 6 .5～ 12个月 ,平均 9.5个月。患膝屈曲由术前平均 6 3°恢复至 115°。结论 :股骨髁上逆向交锁髓内钉是治疗股骨髁上陈旧性骨折的良好方法之一 。
Objective:To explore the applicational valve of supracondylar interlocking nail for treatment of old supracondylar femoral fractures.Methods:This series included 8 men and 3 women aged from 26 to 55 years.Supracondylar interlocking intramedullary nails were used in those who failed from fupracondylar femoral fractures with static technique,only one was turned to dynamics in 6.5 months.Bone grafting were done in 6 patients with bone defect simultaneously.Manual or/and operative relaxation of stiffness and adherence on adjacent knee joints were followel by.Results:All patients were followed up for 10 to 35 months.All were healed well with average healing time 9.5 months(ranged 6.5 to 12 months).The average range of knee flexion had recovered from 63° to 115°.No one got serious complications.Conclusion:The supracondylar interlocking intramedullary nail is quite effective in the treatment of non union supracondylar femoral fractures.The strong biomechanical fixation that provided by it is benefit to the healing of fractures and the recovery of motion of knee joints.
出处
《实用骨科杂志》
2003年第2期125-127,共3页
Journal of Practical Orthopaedics
