摘要
目的探讨交锁髓内钉或锁定钢板治疗股骨干粉碎性骨折的临床疗效。方法采用微创技术治疗28例股骨干粉碎性骨折患者,16例行交锁髓内钉内固定,12例行锁定钢板内固定。结果患者均得到随访,时间6～24个月。切口均一期愈合,骨折无不愈合和畸形愈合。骨折临床愈合时间:交锁髓内钉组16～24周;锁定钢板组15～22周。根据Kotmert评分,交锁髓内钉组:优10例,良5例,可1例;锁定钢板组:优6例,良5例,可1例。结论股骨干粉碎性骨折治疗需根据骨折情况选择内固定,结合微创技术,均可获得良好的治疗效果。
Objective To evaluate the clinical effects of interlocking intramedutlary nail and locking plate in the treatment of the femoral shaft comminuted fracture. Methods 28 patients with femoral shaft fractures were recruited. 16 caseswere treated with the interlocking intramedullary nails and 12 cases with the locking plates by the way of minimally invasive technique. Results All the patients were followed up for 6 - 24 months. There were no wound problems and all fractures healed with nonunion or malunion. The clinical healing time for the intramedullary nailing group was 16 - 24 weeks and the locking plate group was 15 - 22 weeks respectively. Kotmert scoring showed that the intramedullary nailing group was excellent in 10 cases, good in 5, and fair in 1, the locking plate group was excellent in 6 cases, good in 5, and fair in 1. Conclusions The proper choices of type of internal fixation of surgical intervention along with minimally invasive technique, usually give good clinical results in the treatment of comminuted femoral fracture.
出处
《临床骨科杂志》
2012年第5期528-529,共2页
Journal of Clinical Orthopaedics
关键词
股骨干骨折
骨折固定术
锁定钢板
交锁骨髓内钉
femoral shaft fracture
fracture fixation
locking plate
interlocking intramedullary nail
