逆行交锁髓内钉结合CPM治疗股骨远端骨折24例 |
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引用本文: | 张开放,武亮,闫宏伟.逆行交锁髓内钉结合CPM治疗股骨远端骨折24例[J].美中国际创伤杂志,2010(1):35-37. |
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作者姓名: | 张开放 武亮 闫宏伟 |
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作者单位: | [1]西安交通大学医学院第二附属医院骨一科,710004 [2]西安市红十字会医院骨病科,710054 |
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摘 要: | 目的:总结应用逆行交锁髓内钉内固定结合CPM治疗股骨远端骨折的疗效及经验。方法:应用逆行交锁髓内钉固定股骨远端骨折,术后配合CPM行患肢膝关节功能锻炼。结果:24例术后随访5~20个月,平均10个月。骨折愈合时间为3~5个月。膝关节功能恢复良好,优良率83.3%,无畸行愈合、不愈合、断钉、感染等并发症。结论:采用逆行交锁髓内钉结合CPM治疗股骨远端骨折,固定坚强并发症少,利于骨折愈合及关节功能恢复,是理想的治疗方法。
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关 键 词: | 股骨远端骨折 逆行交锁髓内钉 CPM |
Retrograde Intramedullary Interlocking Nail and CPM for Treatment of 24 Patients With Distal Femoral Fracture |
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Institution: | Zhang Kaifang, Wu Liang, Yah Hongwei ( Department of Orthopedics, The Second Affiliated Hostital of Xi'an Jiaotong University, Xi'an 710004; Xi'an Red Cross Hospital, Xi'an 710054, China) |
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Abstract: | Objective: To observe the effect of retrograde intramedullary interlocking nail and CPM for treatment of patients with distal femoral fracture. Methods: 24 patients with distal femoral fracture were treated with retrograde interlocking intramedllary nails, and CPM was used from the 3rd post-op day. Results: All cases were followed up for 5-20 months (mean 10 months). The time of bone healing was 3-5 months. The knees function recovered well with excellence rate of 83.3%. There was no major complications occurred such as malunion, nonunion, nail broken or infection. Conclusion: Retropgrade intramedullary interlocking nails combined with CPM for treatment of the distal femoral fractures can ensure intrinsic stability, and also with simple procedures and fewer complications. |
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Keywords: | Femoral fractures Retrograde interlocking intramedullary nail CPM |
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