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带锁髓内钉治疗股骨转子间骨折32例报告

[Treatment of femoral trochanteric fracture with intramedullary interlocking nailing: a report of 32 cases].

作者信息

Zhong Z L, Liang W G, Li S M

机构信息

Guangzhou Red Cross hospital.

出版信息

Zhonghua Wai Ke Za Zhi. 1994 Apr;32(4):210-2.

PMID:7842920
Abstract

We improved and made the intramedullary interlocking nail and it's instrument for surgical operation in December 1989 by consulting the reported material of the gamma locking nail. 32 cases of the femoral trochanteric fracture were treated by using this fixation system. The results were satisfactory. The patients could stand up and move about beginning from 6th to 13th day after operation. No mechanical failure of implant, infection and other complications occurred in our series. 29 cases were followed-up for 5 to 19 months and showed all of the fractures were healed. Their hip functions were completely or basically recovered. Coxa vara deformity occurred in two cases and one had a 2.5 cm shortening of the lower limb. We consider that the intramedullary interlocking nail conforms to the principle of human biomechanics and it may be used as an effective surgical treatment with the fracture fixation of superior strength and stability for every type of femoral trochanteric fractures.

摘要

1989年12月,我们参考伽马交锁髓内钉的报道资料,改进并制作了髓内交锁钉及其手术器械。应用该固定系统治疗32例股骨转子间骨折,效果满意。患者术后6至13天即可站立和活动。本组未发生内植物机械性失败、感染等并发症。对29例进行了5至19个月的随访,结果显示所有骨折均愈合,髋关节功能完全或基本恢复。2例出现髋内翻畸形,1例下肢短缩2.5厘米。我们认为,髓内交锁钉符合人体生物力学原理,可作为治疗各类股骨转子间骨折的一种有效的手术方法,其骨折固定具有较高的强度和稳定性。

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