中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (39): 7299-7302.doi: 10.3969/j.issn.1673-8225.2010.39.019

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

交锁髓内钉置入治疗股骨干骨折术后钢板断裂：同一机构5年20例资料分析

李  健，张振山，赵洪普，张  平，潘永谦，吴溢峰   

  1. 广州医学院第三附属医院骨科，广东省广州市 510150
  • 出版日期:2010-09-24 发布日期:2010-09-24
  • 通讯作者: 张振山，硕士研究生，医师，广州医学院第三附属医院骨科，广东省广州市 510150 doczhangzhen@126.com
  • 作者简介:李健，男，1953年出生，江苏省无锡市人，汉族，1975年解放军第一军医大学毕业，教授，主任医师，主要从事创伤外科、脊柱外科专业研究。
  • 基金资助:

    广东省医学科研基金项目(A2008289)。

Treatment of femoral shaft fractures after plate fracture with inter-locking intramedullary nail: Data analysis of 20 cases in one institute in 5 years

Li Jian, Zhang Zhen-shan, Zhao Hong-pu, Zhang Ping, Pan Yong-qian, Wu Yi-feng   

  1. Department of Orthopaedics, Third Affiliated Hospital of Guangzhou Medical College, Guangzhou   510150, Guangdong Province, China
  • Online:2010-09-24 Published:2010-09-24
  • Contact: Zhang Zhen-shan, Physician, Master’s supervisor, Department of Orthopaedics, Third Affiliated Hospital of Guangzhou Medical College, Guangzhou 510150, Guangdong Province, China doczhangzhen@126.com
  • About author:Li Jian, Professor, Chief physician, Department of Orthopaedics, Third Affiliated Hospital of Guangzhou Medical College, Guangzhou 510150, Guangdong Province, China
  • Supported by:

    the Medical Scientific Research Program of Guangdong Province, No. A2008289*

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摘要：

背景：近年来，交锁髓内钉逐渐应用于治疗股骨干骨折内固定失败患者。
目的：探讨交锁髓内钉联合植骨术治疗股骨干骨折术后钢板断裂的方法及疗效。
方法：回顾性分析20例股骨干骨折术后钢板断裂患者，普通钢板13例，加压钢板7例。行钢板螺钉取出后均在C型臂X线机透视下行交锁髓内钉固定联合植骨术治疗。均为静力固定，远近端各有两枚锁钉，术后评价其疗效及骨折愈合时间。
结果与结论：所有患者随访10~36个月(平均16.2个月)。按照Hohl功能评价方法评价临床结果优12例，良6例，中2例，差0例，优良率90%。骨折全部愈合，愈合时间5~12个月，平均7.4个月。表明交锁髓内钉联合植骨术疗效可靠，并发症少，骨折愈合满意，是治疗股骨干骨折术后钢板断裂理想的治疗方法之一。

关键词: 交锁髓内钉, 置入, 股骨干骨折, 骨折内固定, 髓内, 钢板

Abstract:

BACKGROUND: Inter-locking intramedullary nail has been used for the treatment of femoral shaft fractures after plate fracture in recent years.
OBJECTIVE: To evaluate the clinical effects of inter-locking intramedullary nail combined bone grafting in treatment of femoral shaft fractures after plate fracture.
METHODS: A total of 20 consecutive patients with femoral shaft fractures after plate fracture were included in this study, including 13 cases using common plate and 7 cases using compressed plate. After the original implant was removed, inter-locking intramedullary nail combined bone grafting was applied under the guidance of fluoroscopy. Static locking was achieved in all cases, with 2 lock-nails at each end. The data of fracture healing time and function scores were recorded.
RESULTS AND CONCLUSION: The patients were followed up for 16.2 (10 to 36) months averagely. The postoperative Hohl score was excellent in 12 cases, good in 6, fair in 2. The totle excellent to good rate was 90%. All cases obtained union with a mean healing time of 7.4 (5 to 12) months. Results show that inter-locking intramedullary nail combined bone grafting is an effective treatment for femoral shaft fractures after plate fracture with good therapeutic effect, few postoperative complications and fractures healing.

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