逆行交锁髓内钉治疗股骨远端骨折效果分析

目的探讨逆行交锁髓内钉（GSH）治疗股骨远端骨折的效果。方法选取股骨远端骨折患者128例，随机分为观察组和对照组。观察组应用逆行交锁髓内钉治疗，对照组应用动力髁螺钉（DCS）进行治疗。结果GSH组手术时间、住院时间及骨折愈合时间均短于DCS组，术中出血量亦低于DCS组（P〈0．05）；在膝关节功能恢复方面，两种方法均显示出良好的效果，差异不显著。GSH组术后并发症发生率低于DCS组（P〈0．05）。结论逆行交锁髓内钉治疗股骨远端骨折有良好的疗效，值得临床推广应用。

Effect analysis of retrograde intramedullary nail in the treatment of distal femoral fractures

Objective To study the effect of retrograde intramedullary nail （GSH） in the treatment of distal femoral fractures. Methods A total of 128 patients with distal femoral fracture were randomly divided into treatment group and control group. The patients in treatment group were treated with retrograde interlocking intramedullary nail,while the patients in control group were treated with dynamic condylar screw （DCS）. Results The operation time, hospitalization time and healing time in GSH group were all shorter than those in DCS group,and the bleeding volume in GSH group was lower than that in DCS group （P 〈 0.05）; The DCS and GSH showed good effect in knee joint recovery function, but there was no statistically difference between two groups. The incidence rate of postoperative complications in GSH group was lower than that in DCS group （P 〈 0.05）. Conclusion Retrograde interlocking intramedullary nail has good effect in the treatment of distal femoral fractures, and it is worthy of clinical application.