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交锁髓内钉固定术式对股骨骨折愈合的影响
引用本文:廖志峰,刘世峰,蒙剑德,仲先玲,张丽琴.交锁髓内钉固定术式对股骨骨折愈合的影响[J].继续医学教育,2010(1):39-41.
作者姓名:廖志峰  刘世峰  蒙剑德  仲先玲  张丽琴
作者单位:广东省东莞市石龙博爱医院创伤骨科,523321
摘    要:目的:探讨不同术式髓内钉固定对股骨干骨折愈合率的影响。方法:回顾我院2003年1月~2008年12月收治的新鲜闭合股骨干骨折行交锁髓内钉内固定病例,分别统计闭合复位与切开复位、切开复位扩髓与不扩髓、闭合复位扩髓与不扩髓的例数及其骨折愈合率,并比较各组骨折愈合率是否具有统计学差异。结果:本组统计共120例,其中切开复位52例,闭合复位68例,骨折愈合率分别为73.1%与88.2%(P<0.05);切开复位组中31例扩髓,21例不扩髓其愈合率分别为83.9%与57.2%(P<0.05);闭合复位组中53例扩髓,15例不扩髓,其愈合率分别为94.3%与66.7%(P<0.001)。结论:股骨交锁髓内钉内固定术中闭合复位及扩髓可提高骨折愈合率。

关 键 词:股骨骨折  交锁髓内钉  术式  愈合率  

The Influence on Ratio of Union Result from Different Operative Methods in Treatment of Femoral Shaft Fracture with Interlocking Intramedullary Nail
LIAO Zhi-feng LIU Shi-feng MENG Jian-de ZHONG Xian-ling ZHANG Li-qin.The Influence on Ratio of Union Result from Different Operative Methods in Treatment of Femoral Shaft Fracture with Interlocking Intramedullary Nail[J].Continuing Medical Education,2010(1):39-41.
Authors:LIAO Zhi-feng LIU Shi-feng MENG Jian-de ZHONG Xian-ling ZHANG Li-qin
Affiliation:LIAO Zhi-feng LIU Shi-feng MENG Jian-de ZHONG Xian-ling ZHANG Li-qin
Abstract:Objective:To evaluate the influence on ratio of union result from different operative methods in treatment of femoral shaft fracture with interlocking intramedullary nail.Methods:A retrospective review from January 2003 to December 2008 in admitted 120 cases of fresh femoral shaft fractures,the cases were treated with femoral intramedullary nail by different operative methods .By summarying the union cases,delayed union and non-union cases to compare the ratio of union by different operative methods.Results...
Keywords:Femoral shaft fractures  Intramedullary nail  Operative methods  The ratio of union  
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