军体训练伤致股骨远端骨折的特点与治疗比较

目的：分析军体训练伤致股骨远端骨折的特点，比较逆行交锁髓内钉（逆行钉）和髁钢板固定治疗军体训练伤致股骨远端骨折的效果。方法：回顾性分析军体训练伤致股骨远端骨折30例的临床资料，其中采用逆行钉固定治疗14例（逆行钉组），应用髁钢板治疗16例（髁钢板组），术后随访12-20个月，对两组治疗效果和并发症发生情况进行比较。结果：术后按照Merchan标准评定膝关节功能，逆行钉组膝关节功能优良率为85．7％，髁钢板组为68．7％（P〈0．05）。结论：逆行钉治疗军体训练伤致股骨远端骨折具有骨折愈合率高、并发症少、膝关节功能恢复好等优点。

Characteristics and Treatment Comparison of Military Training Injury Caused by Distal Femoral Fractures

Objective To analyze the characteristics of military training injury caused by distal femoral fractures that used reverse interlocking intramedullary nail（retrograte nails） and condylar plate to fix, and then compare the clinical treatment effects. Methods Retrospective analysis of clinical information of 30 cases ,14 cases were treated with reverse interlocking intramedullary nail（reverse nail group） and 16 cases with condyle plate fixation（condyle plate group）, all the cases were followed up for 12-20 months to compare the treatment effect and complications. Results According to Merchan criteria with clinical evaluation of knee function, the rate of good and excellent was 85.7% in the reverse interlocking intramedullary nail group, 68.7%（P〈0.05） in condyle plate group femoral fracture. Conclusion It has high healing rate of fracture, less complication and good restoration of knee function.