使用复位器-T带针进行经皮顺行髓内钉固定术治疗同侧多节段股骨干骨折患者，疗效显著且耐受性良好。

Percutaneous antegrade nailing with reductor-T tape pin is effective and well tolerated in patients with ipsilateral multisegmental femoral shaft fractures.

作者信息

Wang Wei, Liu Jianning, Li Zhiyong, Xu Guohui, Wei Rongling, Li Xu, Qi Xiangbei

机构信息

Department of Orthopedics, Xiangjiang Area of The Third Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

J Int Med Res. 2019 Sep;47(9):4242-4250. doi: 10.1177/0300060519857857. Epub 2019 Jul 16.

DOI:10.1177/0300060519857857

PMID:31307257

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6753574/

Abstract

OBJECTIVE

This study was performed to investigate the efficacy and safety of percutaneous antegrade nailing with a reductor-T tape pin in the treatment of ipsilateral multisegmental femoral shaft fractures (IMFSFs).

METHODS

Nineteen patients with IMFSFs underwent antegrade nailing with a reductor-T tape pin by percutaneous techniques. The operation time, reduction time, fluoroscopy time, blood loss, fracture union time, and complications were recorded.

RESULTS

All 19 patients (100%) achieved technical success. The mean and median operation time were 62.42±16.27 and 60 (range, 40–105) minutes, respectively; the mean and median reduction time were 11.47±3.78 and 10 (range, 8–22) minutes, respectively; the mean and median fluoroscopy time were 16.63±6.10 and 15 (range, 10–35) s, respectively; and the mean and median blood loss were 185.26±62.75 and 180 (range, 110–350) mL, respectively. Additionally, all 19 patients (100%) achieved fracture union within a mean and median time of 3.95±1.75 and 3 (range, 3–9) months, respectively; most patients [n=14 (73.7%)] achieved fracture union within 3 months. No obvious complications occurred during the study.

CONCLUSION

Antegrade nailing with a reductor-T tape pin by a percutaneous technique is effective and well tolerated in patients with IMFSFs.

摘要

目的

本研究旨在探讨使用复位器-T带针经皮顺行髓内钉治疗同侧多节段股骨干骨折（IMFSFs）的有效性和安全性。

方法

19例IMFSFs患者采用经皮技术使用复位器-T带针进行顺行髓内钉固定。记录手术时间、复位时间、透视时间、失血量、骨折愈合时间及并发症。

结果

19例患者（100%）均获得技术成功。平均手术时间和中位手术时间分别为62.42±16.27分钟和60分钟（范围40 - 105分钟）；平均复位时间和中位复位时间分别为11.47±3.78分钟和10分钟（范围8 - 22分钟）；平均透视时间和中位透视时间分别为16.63±6.10秒和15秒（范围10 - 35秒）；平均失血量和中位失血量分别为185.26±62.75毫升和180毫升（范围110 - 350毫升）。此外，19例患者（100%）均实现骨折愈合，平均愈合时间和中位愈合时间分别为3.95±1.75个月和3个月（范围3 - 9个月）；大多数患者[n = 14（73.7%）]在3个月内实现骨折愈合。研究期间未发生明显并发症。