CAJ | 학술논문

背景:逆行交锁髓内钉联合记忆合金骨卡环置入内固定治疗股骨髁上A型骨折,固定稳定有利于骨折愈合,可早期锻炼.目的:探讨逆行交锁髓内钉联合记忆合金骨卡环置入内固定治疗股骨远端骨折的临床疗效.方法:纳入患者19例.根据AO分型:33A1型11例,33A2型6例,33A3型2例.其中男12例,女7例:年龄17-68岁,平均37.2岁.全部患者均通过逆行交锁髓内钉联合记忆合金骨卡环置入内固定治疗.结果与结论:17例患者获得随访4-24个月(平均8个月),骨折临床愈合时间12-18周,平均愈合时间14周;无内固定物松动、断裂及畸形、关节感染、骨不连等发生,术后发生切口表浅感染2例,膝关节滑膜炎2例,原有骨性关节炎一过性加重1例.按HSS膝关节临床功能评定,优12例,良3例,优良率88%,可2例(12%).说明采用逆行交锁髓内钉联合记忆合金骨卡环置入内固定治疗股骨髁上A型骨折生物力学稳定,能有效恢复股骨髁上骨折的稳定性及完整性,固定可靠,能促进骨折愈合,有利于早期进行功能锻炼.
배경:역행교쇄수내정연합기억합금골잡배치입내고정치료고골과상A형골절,고정은정유리우골절유합,가조기단련.목적:탐토역행교쇄수내정연합기억합금골잡배치입내고정치료고골원단골절적림상료효.방법:납입환자19례.근거AO분형:33A1형11례,33A2형6례,33A3형2례.기중남12례,녀7례:년령17-68세,평균37.2세.전부환자균통과역행교쇄수내정연합기억합금골잡배치입내고정치료.결과여결론:17례환자획득수방4-24개월(평균8개월),골절림상유합시간12-18주,평균유합시간14주;무내고정물송동、단렬급기형、관절감염、골불련등발생,술후발생절구표천감염2례,슬관절활막염2례,원유골성관절염일과성가중1례.안HSS슬관절림상공능평정,우12례,량3례,우량솔88%,가2례(12%).설명채용역행교쇄수내정연합기억합금골잡배치입내고정치료고골과상A형골절생물역학은정,능유효회복고골과상골절적은정성급완정성,고정가고,능촉진골절유합,유리우조기진행공능단련.
BACKGROUND:The technique of internal fixation for type A supracondylar femoral fractures with combination of Green Seligson Henry nails and memory clutching internal fixator have many advantages of strong biomechanical fixation, improvement of fracture union and early exercises. OBJECTIVE:To investigate the clinical effects of Green Seligson Henry nail plus memory clutching internal fixator for the treatment of type A supracondylar femoral fractures. METHODS:Nineteen cases of type A supracondylar femoral fractures were treated with Green Seligson Henry nails plus memory clutching internal fixator. There were 11 cases of type 33A1, 6 cases of type 33A2 and 2 cases of type 33A3 according to AO/ASIF classification. The demography of the 19 cases was as fol ows:12 males and 7 females, ranging from 17 to 68 years old (a mean of 37.2 years old). Al cases were treated with Green Seligson Henry nails plus memory clutching internal fixator. RESULTS AND CONCLUSION:Seventeen out of 19 cases were fol owed-up with a mean period of 8 months (4 to 24 months). The time for fracture union averaged 14 weeks (12-18 weeks). No implant loosening or breaking, knee joint infection, deformity and nonunion were observed. Two cases of infected incision, 2 cases of postoperative traumatic arthrits,1 cases of temporary aggravation of pre-existing osteoarthritis were documented as postoperative complication. For the 17 cases, 12 cases score excel ent under the HSS score, 3 good and 2 average (12%). The excel ent and good rate was 88%. Internal fixator with combination of Green Seligson Henry nail and memory clutching has better characteristics of stability mechanism in treating type A supracondylar femoral fractures. The stability and integrity of type A supracondylar femoral fractures can be recovered. This method has many advantages such as stable fixation, improvement of fracture union and early exercises.