Abstract：Objective: To evaluate the curative effect and surgical skills of reconstructive intramedullary nailing in the treatment of ipsilateral fractures of the hip and shaft of the femur (IFHSFs) with the assistance of an reduction device by percutaneous techniques.Methods: From January 2013 to January 2016, 21 adult patients with IFHSFs were enrolled into this study. All the patients were treated with reconstructive nailing (RN) by percutaneous techniques under the assistance of the reduction device. The operation time, reduction time, fluoroscopy time, intra-operative blood loss and preoperative and postoperative pain score of VAS were recorded. Follow-up was conducted to assess the healing of the fractures, the functional recovery and Harris hip score of the affected limbs. Results: All the 21 cases were achieved closed reduction. The average operative time, fracture reduction time, fluoroscopy time and blood loss were 74.57±14.17 minutes, 12.69±2.61 minutes, 19.24±11.08 seconds and 130.48±23.29 mL, respectively. All fractures healed well on an average of 5.00±3.33 months. The pain score of VAS in preoperation was significantly less than in postoperation (P <0.05). According to Friedman－Wyman classification 21 cases get good result. There were no significant differences between the Harris hip score of the affected and healthy limbs when the fractures were union. Conclusions: IFHSFs treated with RN under the assistance of the reduction-T pin by percutaneous techniques is a good choice for ipsilateral fractures of the hip and shaft of the femur with the advantages of less soft tissue trauma, less complications, less intra-operative blood loss, excellent functional recovery and less cost.
王伟, 张敏, 刘建宁, 李志勇, 徐国辉. 特殊复位器复位重建钉治疗同侧股骨干及髋部骨折的临床研究[J]. 河北医学, 2018, 24(5): 714-717.
WANG Wei, ZHANG Min, LIU Jianning, et al. Ipsilateral Fractures of the Hip and Shaft of the Femur treated with Reconstructive Nailing under the Assistance of an Reduction Device. HeBei Med, 2018, 24(5): 714-717.
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2018, Vol. 24 
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