长Gamma钉治疗股骨转子下骨折

目的评价应用长Gamma钉内固定治疗股骨转子下骨折的效果。方法16例股骨转子下骨折采用长Gamma钉内固定,C臂X线机透视下牵引复位,必要时做小切口钢丝环扎或钢缆捆绑复位。结果1例发生延迟愈合,其余病例术后半年随访时骨折均已愈合。肢体功能良好。结论股骨转子下骨折应用长Gamma钉内固定,手术创伤小,骨折愈合率高,符合生物力学的要求。

Treatment of subtrochanteric fracture with long Gamma nail

Objective To evaluate the clinical outcome of subtrochanteric fracture fixed with long Gamma nail. Methods 16 cases of traumatic subtrochanteric fractures were intramedullary fixed with a long Gamma nail. Reduction was performed under traction and C-arm fluoroscopy on a fracture table, with cerclage wiring or cable bandage through a mini incision when necessary. Results All the 16 cases of subtrochanteric fractures healed uneventfully except 1 cases of delayed union. Walking and squatting ability was completely restored in each case at follow-up examination of 6 months postoperatively. Conclusions Long Gamma nail is a reliable implant for subtrochanteric fractures with high rate of bone union, minimal soft tissue damage and great biomechanical advantages.