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股骨干骨折--扩髓和不扩髓髓内钉比较
引用本文:JamesF.Kellam LadislavNagy RodrigoF.Pesantez. 股骨干骨折--扩髓和不扩髓髓内钉比较[J]. 中华创伤骨科杂志, 2004, 6(9): 1048-1052
作者姓名:JamesF.Kellam LadislavNagy RodrigoF.Pesantez
作者单位:A0 Publishing Stettbachstrasse 10 CH-8600 Dübendorf Switzerland 
摘    要:治疗股骨干骨折,采用不扩髓髓内钉比扩髓髓内钉手术时间明显缩短,而且失血也少。但是,扩髓钉的骨愈合更快,延迟愈合更少。两者都没有显著增加包括肺损害等其它并发症的风险。功能结果不能确定。

关 键 词:股骨干 骨折 扩髓髓内钉 不扩髓髓内钉

Femoral shaft fractures Reamed versus unreamed intramedullary nailing
James F.Kellam,Ladislav Nagy,Rodrigo F.Pesantez. Femoral shaft fractures Reamed versus unreamed intramedullary nailing[J]. Chinese Journal of Orthopaedic Trauma, 2004, 6(9): 1048-1052
Authors:James F.Kellam  Ladislav Nagy  Rodrigo F.Pesantez
Abstract:It appears that unreamed nailing is significantly faster (operative time) with less blood loss compared with unreamed nailing in the treatment of femoral shaft fractures; however, reamed nailing contributes to faster union times and fewer delayed unions. Neither appears to significantly increase the risk of other complications including pulmonary compromise. Functional outcomes cannot be determined.
Keywords:Femoral shaft  Fracture  Reamed intramedullary nailing  Unreamed intramedullary nailing
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