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Effect of closed reduction and intramedullary nail fixation in lateral position and supine position in the treatment of femoral shaft fracture |
OU Rong-tong ZOU Zhong-bing LIN Wei-peng |
Second Department of Orthopedics,People′s Hospital of Yunfu City,Guangdong Province,Yunfu 527300,China |
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Abstract objectiveTo compare the effect of closed reduction and intramedullary nail fixation in lateral position and supine position in the treatment of femoral shaft fracture.MethodsA total of 82 cases of femoral shaft fracture treated in our hospital from January 2013 to December 2016 were retrospectively analyzed.According to different positions during the operation,42 patients with supine position were selected as supine position group,40 cases of lateral lying position were used as lateral position group.The operation time,intraoperative blood loss,intraoperative fluoroscopy time,hospitalization time and fracture healing time were observed and compared between the two groups.ResultsThe operation time of the lateral decubitus position was significantly shorter than that in supine position group,the amount of bleeding was significantly lesser than the lateral decubitus position in supine position group,lateral position group postoperative complication was significantly lower than the supine position group,the differences were statistically significant(P<0.05);time of hospitalization and the lateral decubitus position in supine position group and healing time of fracture,the differences were not statistically significant(P>0.05).1 years of follow-up,compared with two groups of joint function excellent rate,the differences were not statistically significant(P>0.05).ConclusionIn the surgical treatment of femoral shaft fracture,closed reduction and intramedullary nailing fixation in lateral decubitus is effective and easy to confirm,with small trauma,short operative time and short operative time,which is suitable for clinical application.
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[1] |
刘伟,杨帆,栾和旭,等.钢板与髓内钉固定治疗闭合复位股骨干骨折的疗效及随访[J].山西医药杂志,2017,46(6):703-706.
|
[2] |
史海山.闭合复位股骨干骨折髓内钉与解剖钢板置入内固定:骨折稳定性比较[J].中国组织工程研究,2015,19(17):2724-2729.
|
[3] |
钟振东,孔镜波.闭合复位交锁髓内钉内固定治疗股骨干骨折的效果评价[J].泰山医学院学报,2017,39(11):1258-1259.
|
[4] |
王雪兵,李力更,吴志新,等.股骨干骨折交锁髓内钉内固定移位骨块对骨折愈合的影响[J].创伤外科杂志,2017,19(8):574-577.
|
[5] |
王雪兵,李力更,吴志新,等.闭合复位髓内钉内固定游离骨折块对骨折愈合的影响[J].中国骨与关节损伤杂志,2017,32(8):852-853.
|
[6] |
陈少明,卢斌,杨志强,等.治疗股骨干骨折三种方法效果分析[J].医学与哲学, 2016,37(2):30-32.
|
[7] |
胡俊江,孙海飚,刘中国,等.交锁髓内钉与微创内固定系统板治疗老年股骨远端骨折的疗效分析[J].中国药物与临床,2016,16(3):373-374.
|
[8] |
符仲秋,丰景斌,罗贤红.股骨近端防旋髓内钉内固定治疗股骨干骨折合并同侧股骨粗隆间骨折的临床疗效分析[J].中国临床医生杂志,2017,45(9):72-74.
|
[9] |
王世坤,史宗新,陈宁,等.股骨干骨折闭合复位髓内钉内固定术中利用小粗隆-股骨干切线控制股骨旋转[J].中国骨与关节损伤杂志,2015,30(6):592-594.
|
[10] |
丁树伟,徐学振,张寿强,等.侧卧位与仰卧位PFNA内固定治疗高龄股骨粗隆间骨折的比较[J].中国骨与关节损伤杂志,2015,30(6):636-637.
|
[11] |
付备刚,王秀会,蔡攀,等.闭合复位与切开复位交锁髓内钉内固定治疗股骨干骨折的疗效比较[J].中国骨与关节损伤杂志,2015,30(2):151-154.
|
[12] |
王宏亮,李丹,李学军,等.不同体位下股骨近端防旋髓内钉治疗股骨粗隆间骨折的临床研究[J].中国矫形外科杂志,2017,25(16):1523-1525.
|
[13] |
刘宪昌.体位对股骨近端防旋髓内钉(PFNA)内固定治疗不稳定股骨粗隆间骨折疗效的影响[J].创伤外科杂志,2016,18(10):620-621.
|
[14] |
魏俊强,金宇,闫石,等.不同体位髓内钉治疗肥胖患者股骨干骨折的临床疗效[J].实用医学杂志,2016,32(2):275-277.
|
[15] |
朱明喜.闭合复位与切开复位交锁髓内钉内固定术治疗股骨干骨折的比较研究[J].现代中西医结合杂志,2016,25(22):2451-2453.
|
|
|
|