逆行髓内钉和空心钉固定股骨干伴股骨颈骨折
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中国人民解放军第八十集团军医院

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Retrograde intramedullary nail and hollow nail fixation of femoral shaft with femoral neck fracture
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1.The 80th group army hospital of the people&2.amp;3.#39;4.&5.s liberation army of China

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    摘要:

    摘要: 目的 探讨逆行髓内钉和空心钉治疗股骨干伴股骨颈骨折的临床疗效。 方法 回顾分析2017年1月~2020年1月我院收治股骨干伴同侧股骨颈骨折患者22例,应用逆行髓内钉联合空心钉治疗。结果 患者随访1~ 3年,仅1例(4.55%)股骨颈Garden Ⅲ型骨折未愈合,2例(9.1%)患者膝关节早期出现轻微疼痛。末次随访髋关节Harris评分优良率为72.73%(16/22),高于术后3个月的40.91%(9/22),差异具有统计学意义(P<0.05)。术后随时间延长,屈髋度数显著增加(P<0.05)。22例患者在术后不同时点的股骨头坏死和关节退变情况对比,差异无统计学意义(P>0.05)。 结论 逆行髓内钉联合空心钉治疗股骨干伴股骨颈骨折的创伤较小,骨折愈合质量和预后质量较高。

    Abstract:

    Abstract: [Objective] To investigate the clinical effect of retrograde intramedullary nails and hollow nails on femoral shaft fracture with femoral neck fracture. [Methods] 22 patients with femoral shaft fracture and ipsilateral femoral neck fracture admitted to our hospital from January 2017 to January 2020 were retrospectively analyzed. They were fixed by retrograde intramedullary nail and hollow nail. [Results] The patients were followed up for 1~ 3 years, only 1 (4.55%) of the femoral neck Garden Ⅲ fracture was not healed, and 2 (9.1%) of the patients had early mild knee pain. The rate of excellent and good hip Harris score at the last follow-up was 72.73% (16/22), which was higher than 40.91% (9/22) at 3 months after surgery, and the difference was statistically significant (P<0.05). With the extension of postoperative time, the degree of hip flexion was significantly increased (P<0.05). The comparison of femoral head necrosis and joint degeneration in 22 patients at different time points after surgery showed no statistical significance (P>0.05). [Conclusion] Retrograde intramedullary nail and hollow nail fixation of femoral shaft fracture with femoral neck fracture is less traumatic and the quality of fracture healing and prognosis is higher.

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  • 收稿日期:2022-05-05
  • 最后修改日期:2023-04-05
  • 录用日期:2023-06-06
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