Wu Li-dong, Wu Qiong-hua, Yan Shi-gui, Pan Zhi-jun
Department of Orthopedics, Second Hospital of Medical College, Zhejiang University, Hangzhou 310009, China.
Chin J Traumatol. 2004 Feb;7(1):7-12.
To evaluate the results of reconstructive intramedullary interlocking nail in the treatment of ipsilateral hip and femoral shaft fractures.
From August 1997 to November 2001, 13 patients were treated with the reconstructive intramedullary interlocking nail. Nine patients were associated with ipsilateral femoral neck fractures, three with ipsilateral intertrochanteric fractures, and one with subtrochanteric fracture.
The follow-up time was from 6 to 38 months with an average of 14 months. All the femoral shaft and hip fractures healed up well. There was no nonunion of the femoral neck, and only one varus malunion. No patient had avascular necrosis of the femoral head. The average healing time for femoral neck fracture was 4.6 months and for shaft fracture 5.8 months. The joint movement and other functions were fairly resumed.
The reconstructive intramedullary interlocking nail, with less trauma, reliable fixation, and high rate of fracture healing, is an ideal method of choice in the treatment of ipsilateral hip and femoral shaft fractures.
评估重建型带锁髓内钉治疗同侧髋部与股骨干骨折的效果。
1997年8月至2001年11月，13例患者接受重建型带锁髓内钉治疗。9例合并同侧股骨颈骨折，3例合并同侧转子间骨折，1例合并转子下骨折。
随访时间6至38个月，平均14个月。所有股骨干和髋部骨折均愈合良好。股骨颈无骨不连，仅1例出现内翻畸形愈合。无患者发生股骨头缺血性坏死。股骨颈骨折平均愈合时间为4.6个月，股骨干骨折为5.8个月。关节活动及其他功能恢复良好。
重建型带锁髓内钉创伤小、固定可靠、骨折愈合率高，是治疗同侧髋部与股骨干骨折的理想选择方法。
