有限内固定结合外固定支架治疗股骨骨折

发布时间：2018-04-05 21:33

本文选题：股骨骨折　切入点：内固定　出处：《中国矫形外科杂志》2017年12期

【摘要】：[目的]探讨有限内固定结合外固定支架在治疗股骨骨折中的临床疗效。[方法]2012年6月~2015年10月从股骨骨折的患者中选取20例,男13例,女7例;年龄17~63岁,平均39岁;全部为新鲜闭合性损伤。按照AO分型:A1型5例,A2型4例,A3型2例,C1型4例,C2型3例,C3型2例。全部应用有限内固定结合外固定支架治疗。[结果]20例患者均获得12~34个月随访,平均18个月。术后均无血管神经损伤,其中2例患者出现针道感染,1例出现螺纹钉松动,给予及时换药及拔出感染及松动螺纹钉处理治愈。X线片示骨折均获得骨性愈合。膝关节活动度(与对侧比较):平均伸直受限5°(0°~8°),弯曲受限10°(0°~15°)。末次随访,患者KSS膝关节功能评分评定疗效:优17例,占85%;良3例,占15%。[结论]有限内固定结合外固定支架治疗股骨骨折可有效避免采用单一固定手术方式的缺点,并结合各种固定方式的优点,操作简单,效果可靠,功能恢复好,是一种有效的治疗方式。
[Abstract]:Objective: to evaluate the clinical effect of limited internal fixation and external fixation in the treatment of femoral fractures.[methods] from June 2012 to October 2015, 20 patients with femoral fractures were selected, 13 males and 7 females, with a mean age of 39 years (1763 years). All of them were fresh closed injuries.According to AO classification, there were 5 cases of type A1, 4 cases of type A 2, 2 cases of type C 1, 4 cases of type C 2, 3 cases of type C 3, and 2 cases of type C 3.All patients were treated with limited internal fixation combined with external fixation stent.[results] all 20 patients were followed up for 12 ~ 34 months (mean 18 months).There was no vascular and nerve injury after operation. Among them, 2 cases had needle infection and 1 case had screw loosening. All the fractures were healed by timely dressing change, pull-out infection and loosening thread nail treatment. X ray showed that bone healing was achieved.The range of motion of the knee joint (compared with the contralateral side) was 5 掳, 0 掳, 8 掳, and 10 掳, 0 掳and 15 掳, respectively.At the last follow-up, KSS knee function score was evaluated in 17 cases (85%) and good in 3 cases (15 cases).[conclusion] finite internal fixation combined with external fixation can effectively avoid the shortcoming of single fixation, and combine with the advantages of various fixation methods, the operation is simple, the effect is reliable, and the function recovery is good.Is an effective treatment.
【作者单位】：潍坊医学院;潍坊市人民医院;潍坊医学院附属医院;
【分类号】：R687.3

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