股骨远端逆行交锁钉加骨栓治疗股骨髁粉碎性骨折

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (12): 1448-1449.

股骨远端逆行交锁钉加骨栓治疗股骨髁粉碎性骨折

李保良¹, 魏思奇¹, 王建民¹, 谭建文¹, 孙永建¹, 方达刚¹, 孙景福¹, 裴国献²

1. 广东省东莞市厚街医院骨科, 广东, 东莞, 523945;
2. 南方医科大学南方医院创伤骨科, 广东, 广州, 510515

出版日期:2004-12-20 发布日期:2004-12-20
基金资助:
收稿日期:2004-3-13。
作者简介:李保良(1959- ),男,1983年毕业于湖北医科大学,副主任医师,电话:13600260588

Retrograde intramedullary locked nail and bolt for comminuted fracture in the femur condyles

LI Bao-liang¹, WEI Si-qi¹, WANG Jian-min¹, TAN Jian-wen¹, SUN Yong-jian¹, FANG Da-gang¹, SUN Jing-fu¹, PEI Guo-xian²

1. 广东省东莞市厚街医院骨科, 广东, 东莞, 523945;
2. 南方医科大学南方医院创伤骨科, 广东, 广州, 510515

Online:2004-12-20 Published:2004-12-20

摘要/Abstract

摘要： 目的评价股骨髁上交锁髓内钉加骨栓治疗股骨远端粉碎骨折的效果。方法应用股骨髁上交锁髓内钉加骨栓治疗股骨髁上髁间粉碎性骨折42例,AO分型均为C1-2型。术中先将髁间骨块复位拉力钉固定,再将髁上复位逆行穿入髁上交锁髓内钉,髓内钉远端的一枚锁钉用骨栓取代,如数穿入其他锁钉。结果 42例患者均得到随访,骨折愈合时间3.5~7.0个月,平均4.6月。膝关节活动范围平均3°~115°。根据Neer膝关节功能评分标准,优≥86分,良≥72分,可≥56分,差<56分。优31例,良10例,优良率91.67%;接受1例(8.3%),差0例。结论采用股骨远端逆行交锁髓内钉加骨栓是治疗股骨髁上及髁间骨折的理想方法。骨栓可有效控制股骨髁间分离,多数患者可通过早期膝关节功能训练达到理想的功能效果。

Abstract: Objective To evaluate the therapeutic effects of locked supracondylar intramedullary nail and bolt for treating comminuted fracture in the distal end of the femur. Methods Forty-two patients (including 31 male and 11 female patients) with supracondylar and intercondylar fractures, classified into type C1 in 20 cases and type C2 in 22 cases according to AO classification, were treated with retrograde intramedullary nail and bolt. Results The follow-up period ranged from 3 to 18 months and the average time of bone healing was 4.6 months. Assessed by functional scoring, the results were excellent in 31 patients, good in 10, and acceptable in 1, with the rate of excellent result as high as 97.6%. Conclusions Retrograde intramedullary nail and bolt can be ideal for treating supracondylar and intercondylar fractures. The bolt can effectively control the dissociation of the intercondylar fractures and good functional recovery of the knee joint can be achieved through early functional training.

中图分类号:

R683

李保良¹, 魏思奇¹, 王建民¹, 谭建文¹, 孙永建¹, 方达刚¹, 孙景福¹, 裴国献². 股骨远端逆行交锁钉加骨栓治疗股骨髁粉碎性骨折[J]. 南方医科大学学报, 2004, 24(12): 1448-1449.

LI Bao-liang¹, WEI Si-qi¹, WANG Jian-min¹, TAN Jian-wen¹, SUN Yong-jian¹, FANG Da-gang¹, SUN Jing-fu¹, PEI Guo-xian². Retrograde intramedullary locked nail and bolt for comminuted fracture in the femur condyles[J]. Journal of Southern Medical University, 2004, 24(12): 1448-1449.

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