逆行交锁髓内钉内固定股骨远端骨折的临床观察

目的：探讨逆行交锁髓内钉治疗股骨远端骨折的f腼床疗效。方法：回顾性分析我院2003年2月－2008年9月所收治股骨干远端骨折33例患者，均行逆行交锁髓内钉固定术，经术后处理与功能锻炼，每两周复查x射线片，观察骨折的愈合情况。结果：33例患者术后随访1年～6年，平均3．9年，骨折均解剖复位良好。骨折完全愈合时间3—6个月，平均4个月，无一例发生坏死感染，均为一期愈合。应用本方法治疗后股骨远端愈合率优良率84．85％。结论：逆行交锁髓内钉固定术治疗股骨远端骨折愈合效果好，安全有效，是目前较理想的治疗方法。

Regress to lock the marrow nails,fixed thighbone remote fracture of clinical observation

Objective： The discussion goes against the flow the junction to lock in the marrow the nail treatment thighbone far-end bone fracture clinical curative effect.Methods： The review analyzed my courtyard in February, 2003 - September, 2008 to admit the stock backbone far-end bone fracture＋ 33 example patients, good went against the flow the junction to lock in the marrow the nail pexia, after the technique post-processing and the function exercise, every two weeks reexamined X beam piece, the observation bone fracture cicatrization situation. Results： After 33 example patient technique makes a follow-up visit for 1 year -6 years, the average 3.9 years, the bone fi＇acture dissects the replacement to be good.The hone fracture complete cicatrization time 3 -6 mouth, the average 4 months, do not have an example to have necrosis to infect, are an issue of cicatrization.Cures the thighbone far-end recovery rate after we government by law fine rate 84.85%.Conclusions： Goes against the flow the junction to lock in the marrow the nail pexia treatment thighbone far-end bone fracture cicatrization effect to be good, safe effective, is at present ideal method of treatment.