中国骨伤2018，Vol.31Issue(5)：472-476,5.DOI:10.3969/j.issn.1003-0034.2018.05.014
器械辅助复位联合带锁髓内钉内固定术治疗复杂股骨干多段骨折
Treatment of multi-segment fracture of complex femoral shaft with instrument-assisted reduction combined with intramedullary interlocking nail fixation
摘要
Abstract
Objective:To investigate the effect of minimally invasive mini-incision and instrumented reduction combined with interlocking intramedullary nailing in the treatment of patients with multi-segment fracture of complex femoral shaft.Methods:From January 2013 to January 2016,32 patients with multiple fractures segments of femoral shaft were treated with instrumentation-assisted reduction combined with interlocking intramedullary nailing,including 22 males and 10 females with an average age of 45 years old ranging 17 to 68 years old.The time from injured to operation was 5 to 10 days with an average of 7 days.After admission,routine tibial tubercle or supracondylar bone traction was performed.The patient's general condition was evaluated,the operation time and intraoperative blood loss were recorded.According to Thorsen femoral fracture morphology evaluation criteria and Hohl knee function evaluation of postoperative efficacy,postoperative fracture healing,complications and postoperative recovery of limb function were observed.Results:All patients were followed up for 6 to 24 months with an average of 12 months.The operative time ranged from 48 to 76 minutes with an average of 67 min.The intraoperative blood loss was 150 to 400 ml with an average of 220 ml.The surgical incisions all achieved grade A healing.The fractures reached the clinical standard of healing.The fracture healing time ranged from 4.2 to 10.8 months with an average of 5.7 months.There were no nonunion,incision infection and internal fixation fracture,failure and other complications.According to Thorsen femoral fracture morphology evaluation criteria,the result was excellent in 28 cases,good in 3 cases,fair in 1 case.According to Hohl knee function evaluation criteria,the result was excellent in 30 cases,good in 2 cases.Conclusion:Instrument-assisted reduction combined with interlocking intramedullary nail fixation is a safe and effective method for the treatment of complex femoral shaft fractures.It has advantages of small trauma,fixed fixation,quick recovery,early postoperative functional exercise.关键词
股骨骨折/骨折切开复位/骨折固定术,髓内Key words
Femoral fractures/Open fracture reduction/Fracture fixation,intramedullary引用本文复制引用
范克杰,陈柯,马文龙,田可为,叶晔,陈洪干,倘艳峰,蔡鸿敏..器械辅助复位联合带锁髓内钉内固定术治疗复杂股骨干多段骨折[J].中国骨伤,2018,31(5):472-476,5.基金项目
河南省中医药科学研究专项课题(编号:2014ZY02003).Henan Province Traditional Chinese Medicine Scientific Research Project (No.2014ZY02003) （编号:2014ZY02003）
