閉合復位和切開復位交鎖髓內釘內固定對股骨干骨折患者膝關節功能的影響

摘要：目的 觀察股骨干骨折閉合復位和切開復位交鎖髓內釘內固定后患者膝關節功能。方法 選取在我院就診的股骨干骨折患者40例，將其隨機分為兩組，各20例。觀察組用閉合復位交鎖髓內釘內固定術，對照組用切開復位交鎖髓內釘內固定術，對比兩組膝關節功能。結果 對照組膝關節功能評分明顯低于觀察組，差異顯著（P<0.05）。結論 給予股骨干骨折患者閉合復位交鎖髓內釘內固定術的療效顯著，可明顯改善患者膝關節功能。

關鍵詞：閉合復位；切開復位；交鎖髓內釘內固定；股骨干骨折

Abstract：Objective To observe the knee joint function of patients after the interlocking intramedullary nail internal fixation of closed reduction and open reduction in femoral shaft fracture. Methods 40 selected patients with femoral shaft fracture treated in the hospital were randomly divided into two groups， 20 cases in each. Observation group took interlocking intramedullary nail internal fixation of closed reduction and control group took interlocking intramedullary nail internal fixation of open reduction. The knee joint function and postoperative complications of patients of two groups were compared. Results The knee joint function score of control group was significantly lower than observation group， and the incidence of postoperative complications of control group was significantly higher than observation group （P<0.05）. Conclusion Interlocking intramedullary nail internal fixation of closed reduction for treating femoral shaft fracture can significantly improve patients' knee joint function and decrease the incidence of postoperative complications.

Key words：Closed reduction； Open reduction； Interlocking intramedullary nail internal fixation；Femoral shaft fracture

股骨干骨折在臨床上比較多見，主要由強大暴力所導致，多發于青壯年[1]。隨著科學技術不斷發展，髓內釘固定技術已應用于股骨干骨折治療中。隨著微創手術在骨科中的應用，閉合復位交鎖髓內釘內固定術已逐漸應用于股骨干骨折治療中，且取得較好效果[2]。因此，本研究探討了給予股骨干骨折患者閉合復位和切開復位交鎖髓內釘內固定術治療對膝關節功能的影響。結果如下。

1 資料與方法

1.1一般資料 選取2011年11月～2015年12月在我院就診的股骨干骨折患者40例，將其隨機分為兩組，觀察組和對照組，各20例。觀察組男12例，女8例；平均年齡為（35.5±6.8）歲；對照組男11例，女9例；平均年齡為（36.2±6.5）歲。排除標準：病理性骨折；GustiloⅡ度以上嚴重開放性骨折；伴有神經或血管損傷。兩組一般資料對比，無明顯差異（P>0.05）。

1.2方法 觀察組用閉合復位交鎖髓內釘內固定術，患者全麻后行氣管插管，仰臥位，行一約5 cm直切……