摘要
Abstract
Objective: To evaluate the curative effect and surgical skills of reconstruction intramedullary nailing for ipsilateral fractures of shaft of femur and hip. Methods: Fifteen patients with ipsilateral femoral shaft and hip fractures from June 2002 to June 2008 were treated with reconstruction intramedullary nails. All of them were male with an average age of 45 years (range,34-85 years). According to the Winquist-Hansen classification,there were 2 type Ⅰ ,6 type Ⅱ ,2 type Ⅲ ,and 2 type Ⅳshaft fractures. Hip fractures consisted of 7 intertrochanteric and 8(53.3％) neck fractures. According to Garden＇s classification, 1 femoral neck fracture was type Ⅰ ,3 were type Ⅱ ,2 were type Ⅲ and 2 were typeⅣ/. Results:All of the patients were followed up for an average of 30.9 months (range, 12 to 55 months). Due to other combined severe injuries,operations were delayed for 1-14 days(average is 5 days). Delayed union of femoral shaft occurred in 1 case; nonunion of femoral shaft occurred in 2 cases. Nonunion of femoral neck occurred in 1 and coxa vara occurred in 1. Hip fractures healed in 14 (93.3％)patients,and shaft fractures healed in 13 (86.7％)patients. The average union time was 4 months (range,2-6 months) for the hip fractures and 5.5 months (range,4-9 months) for the shaft fractures. No femoral head osteonecrosis ,wound infection or shortening more than 2 cm occurred. Functional results using Friedman-Wyman criteria were good in 13 cases,fair in 1 ease,and poor in 1 case. Conclusion: Reconstruction intramedullary nails can provide biological fixation of both fractures with fewer complications,and is an effective device to treat this kind of combined fractures.关键词
股骨骨折/髋骨折/骨折固定术,内/外科手术Key words
Femoral fractures/ Hip fractures/ Fracture fixation,internal/ Surgical procedures,operative
