Fracture reduction and intramedullary fixation of femoral fracture after the CT measurement of rotating shift.docVIP

 PAGE \* MERGEFORMAT 19 Fracture reduction and intramedullary fixation of femoral fracture after the CT measurement of rotating shift Author: Yao Qi Pei-Fu Tang Peng Huang Ji-Fang Wang Abstract [Objective] CT measurement of intramedullary nail fixation of femoral fractures fracture displacement rotary degree of rotational deformity surgery to correct approach. [Methods] CT scan measurement of 56 cases of femur fracture reduction and intramedullary nail fixation of the former angle values, and with the contralateral control, computing the difference between bilateral anterior angle, so as to determine the extent of fracture of distal rotational deformity. Increased anteversion showed that fracture distal rotation, whereas on behalf of external rotation fractures of the remote. According to AO classification, A3 subtrochanteric fracture in 9 cases, type A fracture of femoral shaft 12 cases, B-type fracture of 15 cases, C-type fracture in 7 cases, type A fracture of the femoral condyle in 13 cases. [Results] All selected cases of injury have occurred anterolateral angle changes, the first inclination of femoral shaft fractures biggest changes, in order to -13.35 ° ~ 47.21 °. Subtrochanteric fracture of the smallest changes in the former inclination, in order to -7.12 ° ~ 36.35 °, the first inclination of supracondylar fracture of change in the middle, in order to -11.10 ° ~ 39.22 °. Spiral fracture of distal displacement of the extent and incidence of displacement is greater than external rotation. Internal rotation shift accounted for 60.71%, external rotation shift accounted for 39.29%. Internal rotation of femoral shaft fracture distal displacement of the biggest changes of 1.37 ° ~ 29.82 °, an average of 12.34 °. Subtrochanteric fracture of distal displacement of the changes in the minimum rotation for the 0.81 ° ~ 23.21 °, an average of 8.32 °. Supracondylar fracture of the middle, to 1.72 ° ~ 27.11 °, an average of 8.38 °. External rotation fra