两种内固定治疗股骨干骨折内固定失效伴骨不连的临床比较.pdfVIP

摘 要 两种内固定治疗股骨干骨折内固定失效 伴骨不连的临床比较 研究生：帕尔哈提·瓦哈甫 导师：艾合买提江·玉素甫 教授 摘 要 目的：观察交锁髓内针和加压钢板固定治疗无菌性股骨干骨折内固定失效伴骨 不连的疗效，并进行临床对比研究。方法：回顾性分析2003 年 1 月～2008 年 6 月入 院的无菌性股骨干骨折内固定失效伴骨不连的患者 40 例， 23 例采用交锁髓内针固 定(其中 10 例进行了髂骨移植) ，17 例采用加压钢板固定均辅以自体髂骨移植治疗， 术后定期拍片并随访患肢功能恢复情况。结果：交锁髓内针组的平均骨折愈合时间 显著短于加压钢板组(p＜0.05) ，且术后远期疗效膝关节功能交锁随内针组的优良率 高于加压钢板组并有显著性差异(p＜0.05) 。结论：交锁髓内针是治疗无菌性股骨干 骨折内固定失效伴骨不连的有效方式，优于加压钢板。交锁髓内针可作为治疗无菌 性股骨干骨折内固定失效伴骨不连的首选方法。 关键词：股骨干骨折；内固定物失效；骨不连；交锁髓内针；加压钢板 —1— 新疆医科大学医学硕士学位论文 Twice Internal Fixation for Internal Fixation Failure and Nonunion after Femoral Shaft Fractures: A Clinical Comparison Postgraduate:Paerhati Wahafu Supervisor: Prof.Aihemaitijiang Yusufu Abstract Objective Observe interlocking intramedullary nail and compressive plate for fixation internal fixation failure and nonunion after femoral shaft fractures, make a clinical comparative study. Methods From January 2003 to June 2008, 40 cases in our hospital with aseptic internal fixation failure and nonunited after femoral shaft fractures. Their clinical data were retrospectively analyzed. 23 cases were managed by the intramedullary fixation using interlocking intramedullary nail (10 caseswith autogenous iliac bone graft), and 17 case fixated with compressive plate fixation. After operations, patients were followed up regularly, healing of the fracture was radiographically recorded, and functional recovery of affected limb was followed up. Results The mean union periods of interlocking intramedullary nail group significantly short compared to compressive