髓内钉结合空心钉治疗股骨髁部骨折

目的 :观察逆行髓内钉结合空心钉治疗股骨髁部骨折的临床疗效。方法 :回顾性分析2009年6月至2015年6月收治的股骨髁部粉碎性骨折患者13例,均使用逆行髓内钉结合空心钉治疗,男6例,女7例;年龄19~76岁,平均46.1岁。闭合性骨折10例,开放性骨折3例;骨折按AO分型:C1型4例,C2型7例,C3型2例。术后观察骨折复位及膝关节功能恢复情况。结果:13例全部获得随访,时间12~36个月,平均24个月。X线复查示骨折愈合时间为18~24周,平均21周,无内固定物松动、断裂及再骨折病例。手术后1年膝关节HSS评分90.07±4.99。结论:股骨逆行髓内钉结合空心螺钉治疗股骨髁间骨折临床疗效优良,能提高股骨髁部骨折的解剖复位率,减少并发症发生,促进膝关节功能恢复。

Intramedullary nailing combined with cannulated screw in treating femoral condyles fractures

Objective: To observe the clinical effects of retrograde intramedullary nailing and cannulated screws in the treatment of femoral condylar fracture.Methods: From June 2009 to June 2015,13 patients with femoral condyles fracture were treated by retrograde intramedullary nailing and cannulated screws including 6 males and 7 females with an average age of 46.1 years old ranging from 16 to 76 years old. There were 10 cases of closed fractures,3 cases of open fraetures. According to AO classification criteriam,4 cases were type C1,7 cases were type C2,2 cases were type C3. Postoperative reduction of fracture and the knee joint function recovery were observed.Results: All patients were followed up for 12 to 36 months with a mean of 24 months. X-ray examination showed that the union time of fracture was 18 to 24 weeks,21 weeks on average. There were no cases of loosening,breakage of internal fixators and re-fracture. Hospital for Special Surgery(HSS) knee score was 90.07±4.99 at 1 year after the operation.Conclusion: The clinical efficacy for retrograde intramedullary nailing and cannulated screw for the treatment of femoral condyles fracture was excellent. It can improve the anatomical reattachment rate and reduce the complications and promote the knee functional recovery.