Closed Interlocking Nailing for Treatment of Segmental Fractures of the Femoral Diaphysis

閉鎖式骨髓內骨釘治療股骨幹兩截式骨折之手術經驗

劉浩誠(Hao-Chen Liu) ； 陳金恩(Chin-En Chen) ； 陳豐基(Feng-Chi Chen)

《中華民國急救加護醫學會雜誌》 12卷2期 (2001/06) Pp. 70-78

https://doi.org/10.30018/JECCM.200106.0004

摘要

二十八位骨股幹兩截式骨折的病人在本院接受閉鎖式復位和以Grosse-Kempf骨髓內骨釘治療。這些病人都是因高速衝撞之車禍的受朗者。其中有六伅是開放性骨折，二十二位是閉鎖式骨折；而十二位是兩截式之股骨幹骨折；十六位是所謂茪懇鶣皇之兩截式股骨幹骨折。
四年的期間中，這二十八位股骨幹兩截式骨折的病人，均接骨髓內骨釘之治療，其中有五位延遲癒合，兩位癒合不良，而不論是何種骨折粉碎程度，在平均三十三週之追蹤治療，這些病人均達到骨折癒合。我們的經驗顯示以閉鎖式骨髓內骨釘來治療骨幹兩截式骨折是很好的手術方法。

關鍵字

股骨幹兩截式骨折 ； 閉鎖式骨髓內骨釘

並列摘要

Twenty-eight segmental fractures of the diaphysis of the femur were treated with Grosse-Kempf interlocking nailing. All of the fractures had been caused by trauma induced by high-speed traffic accidents. There were 22 closed and 6 open fractures. Among these cases, 12 were double-level fractures of the middle frag,ent, which are so-called split segmental fractures.
During a 4-year period, 28 operations of static interlocking nailing for femoral segmental fractures were performed at our trauma team by 4 surgeons. There were 5 delayed unions and 2 malunions. Virtually all fractures united in the average period of 33 weeks, regardless of the pattern of the fracture or the degree of comminution. Closed static interlocking nailing is the treatment of choice for most segmental fractures of the shaft of the femur.