资源描述：
《环治疗股骨中下段严重粉碎性骨折.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、中国修复重建外科杂志2006年第20卷第7期·699·关节镜下行髁上交锁髓内钉加记忆骨卡环治疗股骨中下段严重粉碎性骨折韩守江杨连根娄宏亮安小刚王晖李晓东孔繁荣【摘要】目的探讨应用关节镜行髁上交锁髓内钉加记忆合金骨卡环治疗股骨中下段严重粉碎性骨折的疗效及优势。方法2002年6月～2004年12月治疗股骨中下段粉碎性骨折12例,其中男9例,女3例;年龄20～54岁。交通伤5例,砸伤7例。按AO分型,其中B型5例,C型7例。所有患者均采用关节镜下定位,骨折端切开复位,髁上交锁髓内钉加记忆合金骨卡环固定。12例均一期植骨,其中植入自体松
2、质骨骨条5例,异体冻干松质骨骨条7例。结果12例均获随访6～18个月,患者骨折均在3～6个月内愈合。无感染、骨不连、髓内钉折断及膝关节僵直等并发症,膝关节功能恢复良好,按Noyes的评分标准评定膝关节功能,优9例,良3例。结论关节镜下手术不需切开膝关节,对关节损伤小,髁上交锁髓内钉加记忆合金骨卡环使骨折复位好,固定牢固,可早期进行功能锻炼,术后并发症少,是治疗股骨中下段粉碎性骨折的一种较好的手术方法。【关键词】股骨远端粉碎性骨折髁上交锁髓内钉记忆骨卡环关节镜中图分类号:R683142R687.33文献标识码:ATREATMENT
3、OFCOMMINUTEDINFERIORFEMORALFRACTURESWITHCOMBINATIONOFSUPRACONDYLARLOCKEDINTRAMEDULLARYNAILANDSHAPEMEMORYBLOCKHOOPINTERNALFIXATORUNDERARTHROSCOPYöHANShoujiang,YANGLiangen,LOUHongliang,etal.DepartmentofOrthopedicSurgery,theGeneralHospitalofFengfengGroupLimitedCompany,H
4、andanHebei,056200,R.R.ChinaCorrespondingauthor:HANShoujiang,E2mail:hsj006006@sina.com【Abstract】ObjectiveToinvestigatetheadvantagesandtheclinicaloutcomesofthetreatmentofcomminutedinferiorfemoralfractureswithcombinationofsupracondylarlockedintramedullarynailandshapemem
5、oryblockhoopinternalfixatorunderarthroscopy.MethodsFromJune2002toDecember2004,12casesofcomminutedinferiorfemoralfracturesweretreated(9males,3females).Ofthem,5caseswereclassifiedastypeBand7casesastypeCaccordingtoAOclassification.Allcasesweretreatedwithcombinationofsup
6、racondylarlockedintramedullarynailandshapememoryblockhoopinternalfixatorunderarthroscopy.In12casesofone2stagebonegrafting,there5ofautologouscancellousbonegraftingand7allo2freezedryingbonegrafting.ResultsWithafollow2upof6to18months,allfractureshealedwithin3to6months.T
7、herewerenoinfectionandnonunion.Thefunctionofallthekneesjointwasexcellent.AccordingtoNoye'scriterionforkneescoring,theresultswereexcellentin9casesandgoodin3cases;theexcellentandgoodratewas100%.ConclusionItisagoodmethodtotreatcomminutedinferiorfemoralfractureswithcombi
8、nationofsupracondylarlockedintramedullarynailandshapememoryblockhoopinternalfixatorunderarthroscopy.Ithasmanyadvantagesoflessinjury
