经皮顺行交锁钉治疗股骨干骨折

目的:评价经皮顺行交锁钉治疗股骨干骨折的临床疗效.方法:对79例82处股骨干骨折采用髋部小切口经皮顺行交锁钉治疗,观察疗效.结果:75例(92%)获得了良好的解剖对位并达到一期愈合,6例(8%)迟缓愈合.另外,由于再次手术1例(1%)发生了深部感染.失血量较少(平均小于100 mL),切口平均长25 mm.1年后随访只有10%髋部疼痛.结论:与传统手术方式相比,经皮技术术中出血少、对周围组织创伤少,是一个安全又有效的方法.

True Percutaneous Technique of Antegrade Nailing for Femoral Shaft Fracture

Objective To evaluate the ture percutaneous technique for antegrade femoral nailing in the treatment of femoral shaft fractures Methods Eighty-two patients with femoral shaft fractures amenable to antegrade femoral nailing were enrolled.A ture percutaneous insertion technique was performed using a stab wound incision.The effects were reviewed Results Seventy-five (92) fracture achieved primary union and with anatomic or nearly anatomic alignment.Six patients had delayed healing (8%) problems and one (1%) had deep infection responded to repeated intervention.With this therapy external blood loss was minimal(generally less than 100 ml),the incision was averaged 25 mm and healed uneventfully. At one year follow-up only 10% of patients had hip abductor pain. Conclusion The percutaneous technique appears to be with minimal blood loss and minimal invasive,hence is a safe and effective alternative to the conventional technique.