逆行交锁髓内钉治疗股骨远端骨折 |
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引用本文: | 宋文慧. 逆行交锁髓内钉治疗股骨远端骨折[J]. 临床医药实践, 2002, 11(1): 23-24 |
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作者姓名: | 宋文慧 |
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作者单位: | 山西医科大学第二医院,山西,太原,030001 |
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摘 要: | 目的 :总结临床使用逆行交锁髓内钉技术治疗股骨远端骨折的经验。方法 :2 0 0 0年 2月~ 2 0 0 1年 10月治疗股骨远端骨折 13例 ,采用 AO/ ASIF分类 :A 1型 6例 ,A 2型 4例 ,A3型 2例 ,C2型 1例。在 C形臂 X线透视机下切开复位 ,行逆行交锁髓内钉固定术。术后 7d行膝关节 CPM功能锻炼。结果 :13例手术均获得成功 ,髓内钉固定理想 ,骨折对位、对线良好。术后 14d膝关节屈曲 90°以上。术后 2 1d能下地扶拐不负重站立 ,6 0 d后开始负重行走。结论 :使用逆行交锁髓内钉技术治疗股骨远端 AO/ ASIF分类的 A型、C2型骨折疗效较好 ,有应用价值
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关 键 词: | 股骨骨折 股骨远端 骨折固定术 髓内 交锁髓内钉 |
文章编号: | 1006-8716(2002)01-0023-02 |
修稿时间: | 2001-10-17 |
Use of retrograde intramedullary interlocking nail for the treatment of distal femoral fracture |
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Abstract: | To report practical experience in treatment of distal femoral fracture with retrograde intramedullary interlocking nail.Methods:From Feb.2000 to Oct 2001,13 cases of distal femoral fracture were treated with retrograde intramedullary interlocking nail.According to AO/ASIF classification system,type A1 in 6 cases,type A2 in 4 cases,type A3 in 2 cases,type C2 in 1 case.All cases were treated by open reduction and internal fixation with retrograde intramedullary interlocking nail.1 week after operation continuous passive moving was carried.Results:All patients were operated successfully with an anatomical reduction and stable internal fixation.They could flex knee over 90° two weeks after operation.All patients walk without crutches 2 months after operation.Conclusion:Retrograde intramedullary interlocking nail is valuable for treating most femoral distal fractures. |
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Keywords: | femoral fractures distal end of femur racture fixation intramedullary intramedullary nail |
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