资源描述：
《股骨远端骨折常见内固定临床应用评价.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、·422·中国矫形外科杂志2005年3月第13卷第6期OrthopJChin,Vol113,No16March2005·临床研究·股骨远端骨折常见内固定临床应用评价王志烈范军胜王军海高山江摘要目的:评价股骨远端骨折常见内固定临床应用效果。方法:1998～2003年共收治股骨远端骨折215例,骨折按AO/ASIF标准分型,A型112例,B型20例,C型83例。分别采用AO角钢板、松质骨拉力螺钉、DCS、GSH及AO股骨髁钢板内固定,合并股骨内侧骨质压缩粉碎较重者,Ⅰ期大块自体髂骨植骨。结果:经平均1016个月随访,AO角钢板固定组(12例):2例内固定折断骨不连,1例骨
2、畸形愈合;松质骨拉力螺钉固定组(20例):骨折全部愈合;DCS固定组(96例):2例骨不连,1例内固定折断;GSH固定组(20例):1例骨不连、锁钉折断;AO股骨髁钢板固定组(67例):2例骨不连。膝关节功能按Merchan评分标准评分,总优良率93%。结论:股骨远端骨折的常见内固定器械,均不具包容性,术前应正确判定骨折的类型并选用合适的内固定,合并股骨内侧骨质压缩粉碎较重者,Ⅰ期大块自体髂骨植骨。这样,才能有效提高此类骨折的优良率。关键词骨折;股骨远端;内固定中图分类号R683142文献标识码A文章编号1005-8478(2005)06-0422-03Clinica
3、levaluationofinternalfixationdevicescommonlyusedfordistalfemoralfractures∥WANGZhi2lie,FANstJun2sheng,WANGJun2hai,etal1OrthopedicDepartment,the1PeopleÄsHospital,Jingmen448000AbstractObjective:Toevaluatetheclinicaleffectofinternalfixationdevicescommonlyusedfordistalfemoralfractures1Method
4、:Fromtheyear1998to2003,215caseswithdistalfemoralfractures(112AO/ASIFtypeA,20typeB,83typeC)weretreatedwithAOangulatedplates,cancellousbonelagscrews,dynamiccondylarscrew(DCS),greenseligs2enhenry(GSH),andAOcondylarfemoralplates1Primaryautogenouslargeiliacbonegraftingwasappliedincaseswithme
5、dialfemoralbonecollapsedorcomminuted1Result:Follow2upwithanaverageof1016monthswascarriedout1InAOangulatedplatesgroup(12cases),hardwarebreakageandnonunionoccurredin2cases,malunionin1case;Incancellousbonelagscrewsgroup(20cases),bonehealingobtainedinallcases;InDCSgroup(96cases),nonunionocc
6、urredin2cases,hardwarebreakagein1case;InAOcondylarfemoralplatesgroup(67cases),nonunionin2cases1TheexcellentandgoodrateforkneefunctionaccordingtoMerchantScoringsystemwas93%1Conclusion:Inordertoimprovethecurerateofdistalfemoralfractures,appropriateinternalfixationdevicesshouldbedetermined
7、accordingtothetypeoffractures,owingtoitsin2compatibilityforallthesefractures1Forcaseswithcollapsedandcomminutedfragmentsatmedialfemur,primaryautogenouslargeiliacbonegraftingshouldbecarriedout1KeywordsFracture;Distalfemur;Internalfixation1998～2003年,本院分别采用AO角钢板、松质骨拉力例,B1型7例,B2型11
