摘要
目的 分析交锁髓内钉治疗股骨、胫骨、肱骨病理性骨折的疗效。方法 2 7例病理骨折 (2 2例骨折、5例临界骨折 )采用交锁髓内钉治疗。 16例良性病变行病灶刮除、自体和 (或 )异体骨移植 ;11例转移癌 9例行病灶姑息切除、骨水泥填充加强 ,2例单纯闭合穿钉固定。结果 15例良性病变患者获随访 ,14例骨折首次术后平均 4个月愈合 ;因复发或内固定失败需再手术 3例。 9例转移癌获随访 ,全部病例肢体功能恢复满意。结论 交锁髓内钉是治疗股骨、胫骨。
Objective To analyze the efficacy of intramedullary interlocking nail in treating of femoral, humeral and tibial pathologic fractures. Methods 27 cases of pathologic fractures (22 fractures; 5 impending fractures) were treated with intramedullary interlocking nailings. 16 cases of pathologic fractures due to benign diseases were undergone lesions resection and autograft and/or allograft. 11 cases due to metastatic tumors were urdergone palliative lesions resection and filled with polymethylmethacrylate in 9 cases, merely nailing in 2 cases through a minimally invasive approach. Results 15 cases of benign diseases got follow up. Fourteen fractures got union after 16 8 weeks on average. Three patients needed reoperation due to relapse or failure of implant. 9 cases with metastatic tumor got follow up. All cases got satisfactory recovery of function of affected extremities. Conclusion Intramedullary interlocking nailing is an ideal fixation method for femoral, humeral, and tibial pathological fractures.
出处
《临床骨科杂志》
2003年第2期153-155,共3页
Journal of Clinical Orthopaedics
关键词
交锁髓内钉
股骨骨折
胫骨骨折
肱骨骨折
intramedullary interlocking nails
femoral fractures
tibia fractures
humeral fractures
