关节镜下微创逆行髓内钉治疗股骨髁上骨折 |
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引用本文: | 刘建永,姜鑫,张益民,郭永智,王军.关节镜下微创逆行髓内钉治疗股骨髁上骨折[J].实用骨科杂志,2010,16(8):585-587,605. |
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作者姓名: | 刘建永 姜鑫 张益民 郭永智 王军 |
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作者单位: | 山东省潍坊市人民医院骨关节外科,山东,潍坊,261041 |
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摘 要: | 目的评价关节镜下微创逆行髓内钉治疗股骨髁上骨折不愈合的疗效。方法 2003年10月至2008年7月行关节镜下微创逆行髓内钉治疗不愈合的股骨髁上骨折12例,均行自体髂骨植骨。结果随访8~64个月(平均32.4个月),12例骨折术后复位良好,临床愈合时间6个月,功能满意。HSS评分,优10例,良1例,中1例,优良率91.67%。结论较之于传统内固定及LISS,关节镜下逆行髓内钉治疗不愈合的股骨髁上骨折创伤小,骨折端血运破坏小,愈合率高,恢复快,可显著改善膝关节功能,疗效满意。
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关 键 词: | 股骨髁上骨折 髓内钉 内固定 关节镜 不愈合 |
Arthroscopically Assisted Treatment of Femoral Supracondylar Nonunion-Fracture with Retrograde Interlocking Intramedullary Nail |
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Institution: | LIU Jian-yong,JIANG Xin,ZHANG Yi-min,et al(Department of Orthopaedics,WeiFang People′s Hospital,WeiFang 261041,China) |
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Abstract: | Objective To evaluate clinical outcomes of arthroscopically assisted treatment of femoral supracondylar nonunion-fracture with retrograde interlocking intramedullary nail.Methods Between October 2003 and July 2008,12 cases of nonunion-fractures received arthroscopical treatment with retrograde interlocking intramedullary nail.Auto-bone grafting was performed.Results The average follow-up was 32.4 months from 8 to 64 months.All cases were operated successfully with anatomical reduction and stable internal fixation,and achieved solid bone union at an average of 6 months.Function was satisfied,According to HSS Rating system,excellent results were obtained in 10 cases,good in 1case,fair in 1case.Conclusion Satisfied function can be obtained with arthroscopical treatment of femoral supracondylar nonunion-fracture,and this technique was characterized by minimal invasion,fast fracture healing,sound joint function and worths further clinical application. |
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Keywords: | femoral supracondylar fracture intramedullary nail internal fixation arthroscopy nonunion |
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