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逆行交锁髓内钉治疗股骨髁上骨折
引用本文:王于治,夏军,陈文钧,马广文,刘其明.逆行交锁髓内钉治疗股骨髁上骨折[J].中国骨伤,2002,15(1):10-12.
作者姓名:王于治  夏军  陈文钧  马广文  刘其明
作者单位:1. 淮北市人民医院骨科,安徽,淮北市,235000
2. 复旦大学医学院华山医院骨科,上海市,200040
摘    要:目的 探索治疗股骨髁上骨折的理想方法。方法 从1996年12月至今,采用交锁髓内钉经膝由踝间窝逆行闭合穿针治疗股骨上骨折共24例。结果 24例经平均22.5个月的随访,23例骨折愈合,膝关节功能按Kolment评定标准,优良率87.4%。结论 逆行交锁髓内钉治疗股骨髁上骨折,内固定坚强,创伤小,骨折愈合快,可有效防止膝关节内外翻畸形。术后能早期膝关节活动,有利膝关节功能恢复。

关 键 词:股骨髁上骨折  交锁髓内钉  治疗
收稿时间:2000/11/17 0:00:00
修稿时间:2000年12月15

Treatment of supracondylar fracture of the femur with retrograde intramedullary interlocking nail
WANG Yu-zhi,MA Guang-wen and LIU Qi-ming..Treatment of supracondylar fracture of the femur with retrograde intramedullary interlocking nail[J].China Journal of Orthopaedics and Traumatology,2002,15(1):10-12.
Authors:WANG Yu-zhi  MA Guang-wen and LIU Qi-ming
Abstract:Objective:To investigate the ideal treatment for supracondylar fracture of the femur.Methods:Since December 1996,24 cases of supracondylar fracture of the femur were treated with intramedullary interlocking nail by closed insertion from intercondylar fossa of the knee.Results:All the 24 cases were followed-up with an average period of 22.5 months.All the fractures united.And according to the Kolment scale,the excellent rate of the knee function was 87.4%.Conclusion:Retrograde intramedullary interlocking nail has the advantage of less trauma,reliable fixation,high rate of fracture union.It is able to effectively prevent geno varus and valgus.It allows early movement of the knee after the operation,and is beneficial to the rehabilitation of the knee.
Keywords:Femur Supracondylar Fracture  Intramedullary Interlocking Nail  Surgery
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