河北医学2018，Vol.24Issue(5)：714-718,5.DOI:10.3969/j.issn.1006-6233.2018.05.003
特殊复位器复位重建钉治疗同侧股骨干及髋部骨折的临床研究
Ipsilateral Fractures of the Hip and Shaft of the Femur treated with Reconstructive Nailing under the Assistance of an Reduction Device
摘要
Abstract
Objective:To evaluate the curative effect and surgical skills of reconstructive intramedullary nailing in the treatment of ipsilateral fractures of the hip and shaft of the femur (IFHSFs) with the assistance of an reduction device by percutaneous techniques.Methods: From January 2013 to January 2016, 21 adult patients with IFHSFs were enrolled into this study. All the patients were treated with reconstructive nailing (RN) by percutaneous techniques under the assistance of the reduction device. The operation time,reduction time,fluoroscopy time,intra-operative blood loss and preoperative and postoperative pain score of VAS were recorded. Follow-up was conducted to assess the healing of the fractures, the functional recovery and Harris hip score of the affected limbs. Results:All the 21 cases were achieved closed reduction. The average opera-tive time,fracture reduction time,fluoroscopy time and blood loss were 74.57 ± 14.17 minutes, 12.69 ± 2.61 minutes,19.24±11.08 seconds and 130.48±23.29 mL,respectively.All fractures healed well on an average of 5.00±3.33 months. The pain score of VAS in preoperation was significantly less than in postoperation (P <0. 05). According to Friedman-Wyman classification 21 cases get good result. There were no significant differ-ences between the Harris hip score of the affected and healthy limbs when the fractures were union. Conclu-sions:IFHSFs treated with RN under the assistance of the reduction-T pin by percutaneous techniques is a good choice for ipsilateral fractures of the hip and shaft of the femur with the advantages of less soft tissue trau-ma,less complications,less intra-operative blood loss,excellent functional recovery and less cost.关键词
股骨干骨折/髋部骨折/重建钉/特殊复位器Key words
Femoral shaft fracture/Hip fracture/Reconstruction nail/Special reduction device引用本文复制引用
王伟,张敏,刘建宁,李志勇,徐国辉..特殊复位器复位重建钉治疗同侧股骨干及髋部骨折的临床研究[J].河北医学,2018,24(5):714-718,5.基金项目
河北省卫生和计划生育委员会科研基金项目,(编号:20170638) （编号:20170638）
