[1]姚双权 张英泽﹡ 赵昌平 王鹏程 张伯锋 任栋 王博.小切口辅助复位微创髓内钉固定治疗股骨粗隆间骨折12例[J].中国微创外科杂志,2013,13(12):1134-1136.
　Yao Shuangquan,Zhang Yingze,Zhao Changping,et al.Miniincision Assisted Reduction Combined with Intramedullary Nail Fixation for the Treatment of Femoral Intertrochanteric Fracture: a Report of 12 Cases[J].Chinese Journal of Minimally Invasive Surgery,2013,13(12):1134-1136.
点击复制

小切口辅助复位微创髓内钉固定治疗股骨粗隆间骨折12例()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
13
期数:
2013年12期
页码:
1134-1136
栏目:
短篇论著
出版日期:
2013-12-20

文章信息/Info

Title:
Miniincision Assisted Reduction Combined with Intramedullary Nail Fixation for the Treatment of Femoral Intertrochanteric Fracture: a Report of 12 Cases
作者:
姚双权 张英泽﹡ 赵昌平 王鹏程 张伯锋 任栋 王博
河北医科大学第三医院骨科创伤急救中心河北省骨科生物力学实验室，石家庄050051
Author(s):
Yao Shuangquan; Zhang Yingze; Zhao Changping;  et al.
Emergency Trauma Center， Third Hospital of Hebei Medical University，Orthopedics Biomechanics Laboratory of Hebei, Shijiazhuang 050051，China
关键词:
股骨粗隆间骨折; 骨折复位; 骨折内固定
Keywords:
Femoral intertrochanteric fracture; Fracture reduction; Fracture internal fixation
分类号:
R683.42
文献标志码:
A
摘要:
目的探讨小切口辅助复位微创髓内钉固定治疗股骨粗隆间骨折的疗效。方法2012年6月~2013年4月，对12例术中闭合复位难以解剖复位的股骨粗隆间骨折，采用在骨折部位做纵行小切口3~5 cm，持骨器、髌钳等钳夹不能复位的骨折块，使之解剖复位，再行髓内钉插入固定治疗。结果手术时间45～80 min，平均55.4 min；术中出血量150～400 ml，平均185 ml。术后X线示复位均满意，12例随访4～15个月，平均8.1月。骨折全部愈合，愈合时间11～17周，平均14.2周,未见髋内翻畸形、内固定松动、拉力螺钉切割股骨头等现象。骨折愈合后按髋关节功能Harris 评分标准评定疗效：优10例，良2例。结论对于闭合复位不能达到满意效果的股骨粗隆间骨折，采用小切口辅助复位，可达到最佳复位，获得较好的疗效，减少并发症的发生。
Abstract:
ObjectiveTo explore the clinical effect of miniincision assisted reduction combined with intramedullary nail fixation for femoral intertrochanteric fracture．MethodFrom June 2012 to April 2013，12 patients with irreducible femoral intertrochanteric fracture were treated by intramedullary nail fixation. Miniincision around the fracture and boneholding clamp was made to aid fracture reduction during the operation．When the reduction of the fracture reached satisfactory stage, intramedullary nail was used to fix the fracture. ResultsThe operation time was 45-80 min (mean, 55.4 min);the intraoperative blood loss was 150-400 ml (mean, 185 ml). Postoperative Xray showed the reduction of the fracture was satisfactory. All cases were followed up for 4-15 months (mean, 8.1 months)．Bone union was observed in all cases with the average time of 14.2 weeks (range, 11-17 weeks) without occurrence of varus deformity, hardware loosening or hardware cutting bones．According to Harris Hip scores，10 cases were rated as excellent and 2 were good．ConclusionFor irreducible femoral intertrochanteric fracture with close reduction, miniincision can be applied around the fracture to aid fracture reduction during the surgery, which can help achieve the best results and reduce complications.

参考文献/References:

[1]Ruecker AH, Rupprecht M, Gruber M, et al. The treatment of intertrochanteric fractures: results using an intramedullary nail with integrated cephalocervical screws and linear compression.J Orthop Trauma,2009,23:22-30.
[2]许继刚．股骨转子问骨折疗效分析(附438例报告)．中华骨科杂志，1994，14：150-152．
[3]Park SY, Yang KH, Yoo JH, et al. The treatment of reverse obliquity intertrochanteric fractures with the intramedullary hip nail. J Trauma,2008,65:852-857.
[4]周青,沈云.股骨转子问骨折两种髓内固定方法的比较.中华创伤骨科杂志,2005,7(8):730-733.
[5]俞银贤,吴晓明,高堪达,等.小转子未累及的不稳定股骨转子间骨折的手术复位技巧.中华骨科杂志，2012，32（7）：621-625.
[6]Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end resultstudy using a new method of result evaluation. J Bone Joint Surg Am, 1969, 51(4): 737-755.
[7]高均宏,朱海涛,冯健,等.亚洲型股骨近端抗旋髓内钉微创治疗老年不稳定股骨转子间骨折.中国微创外科杂志,2011,11(9):841-843.
[8]许杰,马若凡,彭焰，等.股骨转子间骨折术后并发症的原因分析及处理.中华创伤骨科杂志,2006,8(7):630-633.
[9]段德宇,杨述华,郑启新,等.应用γ钉治疗转子间骨折的并发症.中国微创外科杂志,2007,7(7): 638-640.

备注/Memo

备注/Memo:
﹡通讯作者，Email：docshuangq@126.com
更新日期/Last Update: 2014-11-04