逆行和顺行交锁髓内钉治疗股骨干骨折的比较研究.doc

逆行和顺行交锁髓内钉治疗股骨干骨折的比较研究 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：逆行和顺行交锁髓内钉治疗股骨干骨折的比较研究 1 1 临床资料 3 2 结果 4 3 讨 论 5 文2：交锁髓内钉治疗股骨干骨折 7 1 临床资料 8 2 结果 9 3 讨论 9 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 12 正文 逆行和顺行交锁髓内钉治疗股骨干骨折的比较研究 文1：逆行和顺行交锁髓内钉治疗股骨干骨折的比较研究 Retrograde Veus Antegrade Intramedullary Nailing of Femoral Shaft Fractures Abstract：Objective To compare union rates and complicatio of retrograde intramedullary nailing of femoral shaft fractures with those of antegrade intramedullary Seventytwo patients with fractures of the femoral shaft who underwent stabilization with closed reduction and reamed intramedullary nailing were prospectively those 72 patients，34 patients were treated with retrograde ierted femoral nails and 38 patients were treated with antegrade ierted femoral those patients were followed at least once，and the average clinical followup was nineteen months(range 6 to 31 months).Results Healing occurred in thirtytwo of the femu in the retrograde group，and there were delayed unio and four occurred in thirtyfive of the femu in the antegrade group，and there were five delayed unio and three incidence of knee pain was twentyfour in the retrograde group and nine in the antegrade group when patients with knee pain before operation were incidence of hip pain was one in the retrograde group and six in the antegrade group when patients with hip pain before operation were Retrograde and antegrade nailing techniques provided similar results in union were more complicatio related to the knee after retrograde nailing and more complicatio related to the hip after antegrade nailing. Key words：femoral shaft fracture；retrograde；intramedullary nailing；treatment 股骨干的范围为股骨粗隆下2～5 cm至髁上2～5 cm，外伤骨折多见，约占全身骨折的6％，其传统治疗方法众多，但疗效不十分理想。股骨髓内钉的出现和 发展 改革了股骨干骨折的手术治疗方法，而手术治疗方法的进步使得这类高能量损伤导致的病废和死亡明显减少。股骨逆行交锁髓内钉最早由Swiontkowski等［1］提出，随着其技术和应用不断改进，已逐渐成为股骨干骨折的有效治疗手段。尽管其技术操作已为人所熟识，但其与顺行钉的预期性比较仍未得到满意的结果。因此，我们在此对顺行钉和逆行钉的骨折愈合方面、术后并发症等作一比较。 1 临床资料 一般资料 2002年1月至2