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锁定钢板与髓内钉治疗股骨远端骨折的临床对比分析
引用本文:李文成,刘秦松,蔡宇,徐华,张国强.锁定钢板与髓内钉治疗股骨远端骨折的临床对比分析[J].河北医学,2013,19(2):177-180.
作者姓名:李文成  刘秦松  蔡宇  徐华  张国强
作者单位:天津市港口医院骨科
摘    要:目的:对比分析锁定钢板内固定和逆行交锁髓内钉治疗股骨远端骨折的临床疗效。方法:将符合标准的85例股骨远端骨折患者随机分成观察组(47例)和对照组(38例),观察组采用锁定钢板内固定治疗,对照组逆行交锁髓内钉治疗,评价其疗效差异。结果:观察组在膝关节功能指标评分、并发症发生率以及预后疗效等方面均明显优于对照组(P〈0.05)。结论:锁定钢板内固定治疗股骨下段骨折具有疗效满意、并发症少,安全可靠等优点,值得临床推广。

关 键 词:股骨远端骨折折  锁定钢板  逆行交锁髓内钉

Clinical Comparative Analysis of Locking Compression Plate and Intramedullary Nailing in Treatment of Distal Femoral Fracture
Institution:LI Wencheng,LIU Qinsong,CAI Yu,et al(Gangkou Hospital of Tianjin,Tianjin 300456,China)
Abstract:To compare clinical efficacy of locking compression plate fixation and intramedul- lary nailing in treatment of distal femoral fracture. Method: 85 patients were randomly divided into observed group (47 cases } and control group (38 cases }, patients in control group received intramedullary nailing treatment, while others received locking compression plate fixation treatment, and compared the curative effect between two groups. Result: The knee joint function index score, complication rate and prognosis of efficacy in observed group were significantly better than those in the control group (P〈0.05). Conclusion: The treatment of distal femoral fracture with locking compression plate fixation received a satisfactory outcome with few complications, safe and reliable and it was worthy to be popularized.
Keywords:Distal femoral fracture  Locking compression plate fixation  Intramedullary nailing
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