中国现代手术学杂志2011,Vol.15Issue(2):128-130,3.
两种方法治疗股骨干合并同侧股骨颈骨折的比较研究
Effect Comparative Study of Two Kinds of Internal Fixation in Treatment of Ipsilateral Fractures of Femoral Neck and Shaft
任凯 1刘黎军 1杨欣建 1胡波 1王大平1
作者信息
- 1. 深圳市第二人民医院创伤骨科,深圳,518035
- 折叠
摘要
Abstract
Objective To compare the therapeutic effect on ipsilateral femoral neck and shaft fractures with two kinds of internal fixation: reconstructive interlocking nail and three cancellous screws plus Low-contact dynamic compression plate (LCDCP) fixation. Methods The clinical data of 18 patients with ipsilateral femoral shaft and neck fracture were retrospective analyzed. Among them, 7 patients( regards as group A) were treated with three cancellous screws fixation of the neck fracture and LCDCP fixation of the shaft fracture, while 11 patients (as group B) were treated by internal fixation with reconstructive interlocking nail. The data of operative time, blood loss, union time and hip function scores were compared between two groups. Results Compared with group B, the operative duration was longer, blood loss was more and the mean healing time of femoral shaft fracture was longer in group A ( P <0.05). There was no difference in average healing time of femoral neck fracture and Sander's score of hip function between two groups ( P > 0. 05 ). Conclusions The two kinds of internal fixation would be reliable in achieving bone union for ipsilateral femoral neck and shaft fractures. Reconstructive interlocking nail fixation has its own advantages in reduction of operative time and blood loss.关键词
股骨骨折/骨折固定术/内固定器分类
医药卫生引用本文复制引用
任凯,刘黎军,杨欣建,胡波,王大平..两种方法治疗股骨干合并同侧股骨颈骨折的比较研究[J].中国现代手术学杂志,2011,15(2):128-130,3.