逆行交锁髓内钉结合CPM治疗股骨远端骨折24例临床分析

目的 评价逆行交锁髓内钉结合CPM治疗股骨远端骨折的临床疗效.方法 对24例股骨远端骨折患者采用逆行交锁髓内钉方法进行治疗,术后早期行患肢CPM功能锻炼,随访观察疗效.结果 24例患者随访时间6～18个月,平均11个月.骨折愈合时间3～7个月.膝关节功能恢复良好,优良率达91.5%.结论 逆行交锁髓内钉内固定治疗股骨远端骨折,具有手术操作简单安全、固定牢靠、可早期行患肢CPM功能锻炼、并发症少、骨折愈合快等特点,是一种治疗股骨远端骨折有效的比较满意的内固定方法之一.

Therapeutics of distal femoral fracture by converse interlocking intramedullary nail combining with CPM

Objective To evaluate the the rapeutic effect of the converge interlocking intramedullary nail combining with continuous passive motion (CPM)on patients with distal femoral fracture.Mathods Twenty-four cases of distal femoral fracture were operated with the method of converse interlocking intramedullary nail,and the CPM practice were carried out and observed after the operation.Results Twenty-four cases were followed up for 6-18 months after operation.of which the average period was 11 months.The healing times of the fracture were 3-7 months and knee joints function recovered well.The excellent ratio was above 91.5%.Conclusion Treating distal end femoral fracture by converse interlocking intramedullary nail possesses the advantages of simpleness,safety,a fewer complication and earlier concrescence,and also could carry out CPM practice PAlrtier,which is a satisfactory method of curing distal femoral fracture.