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

doi:10.3969/j.issn.1006-6233.2018.05.003

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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.

Key words： Femoral shaft fracture Hip fracture Reconstruction nail Special reduction device

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.05.003 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I5/714

[1] 任继鑫,张建政,刘智,等.股骨重建钉治疗股骨干合并同侧髋部骨折适应证探讨[J].实用骨科杂志,2014,20(11):982~985.
[2] Christian von Ruden, Markus Tauber, Alexander Woltmann, et al. Surgical treatment of ipsilateral multi-level femoral fractures [J].Journal of Orthopaedic Surgery and Research, 2015,10:7.
[3] 韦振飞, 罗任,李旭,等.简述对股骨干骨折合并同侧股骨颈骨折进行诊断及治疗的研究进展[J].当代医药论丛,2017,15(16):46~47.
[4] 陈建卓,杨小辉,闵琦.重建髓内钉治疗股骨转子间骨折合并同侧股骨干骨折[J].吉林医学,2014,35(30):6760~6761.
[5] Kim JW, Oh JK, Byun YS, et al.Incidence of avascular necrosis of the femoral head after intramedullary nailing of femoral shaft fractures:a multieenter retrospective analysis of 542 cases [J].Medicine(Baltimore), 2016, 95(5): e2728.
[6] Lim SJ, So SY, Yoon YC, et al. A forward-striking technique for reducing fracture gaps during intramedullary nailing: a technical note with clinical results [J]. Injury Int Care Injured, 2015,46:2507~2511.
[7] 王浩,李连华,刘智.重建钉治疗股骨干合并同侧股骨颈骨折[J].中国骨伤,2015,28(9):808~810.
[8] Ostrum RF, Tornetta P 3rd, Watson JT, et al. Ipsilateral proximal femur and shaft fractures treated with hip screws and a reamed retrograde intramedullary nail [J]. Clin Orthop Relat Res, 2014,472(9):2751~2758.
[9] Xu H, Xue Z, Ding H, et al. Callus formation and mineralization after fracture with different fixation techniques: minimally invasive plate osteosynthesis versus open reduction internal fixation[J]. PLoS One, 2015, 10(10): e0140037.
[10] 张晓瑞,高长城,乔永军.可膨胀髓内钉与交锁髓内钉治疗股骨干骨折疗效对比研究[J].河北医学,2015,21(3):419~422.
[11] Faucett SC, Collinge CA, Koval KJ. Is reconstruction nailing of all femoral shaft fractures cost effective a decision analysis [J].Orthop Trauma, 2012, 26(11):624~632.
[12] Chen W, Zhang T, Wang J, et al. Minimally invasive treatment of displaced femoral shaft fractures with a rapid reductor and intramedullary nail fixation [J]. International Orthopaedics (SICOT), 2016, 40:167~172.
[13] Sohn HS, Jeon YS, Lee J, et al. Clinical comparison between open plating and minimally invasive plate osteosynthesis for displaced proximal humeral fractures: a prospective randomized controlled trial [J]. Inj Int Care Injured, 2017, 48(6): 1175~1182.