交锁髓内钉与锁定钢板治疗股骨干骨折的疗效比较-论文.pdf

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1、安徽医药AnhuiMedicalandPharmaceuticalJournal2014Aug；18(8)．1491．交锁髓内钉与锁定钢板治疗股骨干骨折的疗效比较胡野，周业金，江淳，张逸飞(安徽医科大学第三附属医院创伤骨科，安徽合肥230001)摘要：目的比较交锁髓内钉与锁定钢板内固定治疗股骨干骨折的临床疗效，为临床治疗选取内固定术式提供理论依据方法采用回顾性分析方法，该科于2012年1月-2013年6月收治的40例股骨干骨折，均获得随访，其中20例接受交锁髓内钉内固定术，20例行锁定加压钢板内固定术，对两组患者的平均手术时间、术

2、中出血量、术后48h引流量、术后48h血红蛋白值、骨折愈合时间、骨折愈合时膝关节优良率等方面进行比较。结果40例患者均获得随访，随访时间6～18个月。两组在手术时间、膝关节优良率及术后48h平均血红蛋白值上差异无统计学意义(P>0．05)，存术中出血量、术后48h切[J引流量、骨折愈合时间一卜差异有统计学意义(P<0．05)。结论总体来说，交锁髓内钉治疗股骨干骨折疗效优于锁钉钢板，治疗成人股骨干骨折，推荐首选交锁髓内钉。关键词：内固定；交锁髓内钉；锁定加压钢板；股骨干骨折doi：10．3969／j．issn．1009—6469．2

3、014．08．027ComparisonoftheclinicalefectsofinterlockingintramedullarynailandlockingcompressionplatefortreatmentoffemoralshaftfracturesinadultsHUYe，ZHOUYe—jin，JIANGTing，etal(DepartmentofTraumaticOrthopedics，Thethirdaffiliatedhospital，Anhuimedicaluniversity，Anhui230001，Ch

4、ina)Abstract：ObjectiveTocomparetheclinicalcurativeeffectsbetweeninterlockingintramedullarynailSandlockingplateinternaIfixa—tioninthetreatmentoffemoralfractures，andtoprovidetheoreticalbasisforclinicalseleetionofinternalfixationoperation．MethodsUsingretrospectiveanalysi

5、smethod，wecomparedtheaverageoperationtime，intraoperativebloodloss，postoperativeflowandhemoglo—binvalue48hafteroperation，fracturehealingtime，acceptancerateoffracturehealingofthekneejointin40casesoffemoralfracturesadmittedtohospitalbetweenJanuary2012andJune2013andwerefo

6、llowedup，including20casestreatedwithinterlockingintramedul—larynailfixationand20routinelockingcompressionplatefixation．ResultsAllthe40patientswerefollowedupfor6～18months．Therewerenostatisticallysignificantdiferencesbetweenthetwogroupsinoperativetime，acceptancerateofkn

7、eejointfunctionandhemoglobinvalues48hoursafteroperation(P>0．05)，whiletherewerestatisticallysignificantdifferencesintheintraoperativebloodloss，postoperative48-hourincisionvolumeandfracturehealingtime(P<0．05)．ConclusionsIngeneral，thecurativeeffectofinter—lockingintramed

8、ullarynailforfemoralfractureissuperiortothatoflockingcompressionplate，whichisapreferredmethodforrecom—mendation．Keywords：int