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DCS与逆行髓内钉治疗股骨远端骨折的比较 |
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n time，bleed，union time，complication，function of knee.Results All the cases were followed for 5～24 monthes，mean 9 monthes.mean union time was 4.6 monthes，(4～9 monthes).mean operation time was 1.5 hours(1～2.5 hours)，bleed 105 mL(50～200 mL)，mean union time 4.7 monthes (4～8 monthes)，5 cases suffered complication (rate 16.7％)，According to Kolmert score of knee function.there were excellent 20.good 7 and fair 3，the excellent and good rate was 89.6％ in DCS group.such was 1.8 hours (1.5～3.5)，120 mL (100～250) mL，mean union time 5.1 monthes (4.5～9 monthes).5 cases (rate 20.8％) According to Kolmert score of knee function.There were excellent 15.good 7 and fair 3.The excellent and good rate 91.7％ in GSH group.There was no significant difference between the results of two groups(P＞0.05).Conclusion Retrograde intramedullary nails and dynamic condylar screw are all the effective method to treat the distal femur fractures，but each has the best indication.no one can treat all kinds of these fractures.
Key word：femur distal；interlock nail；dynamic condylar screw；fixation；comparison
股骨远端(髁上及髁间)骨折为下肢常见损伤，约占股骨骨折的6.3％。股骨远端骨折属近关节或累及关节面骨折，因其位于干骺端，骨皮质薄，髓腔大，多为松质骨，治疗上较为棘手。良好的复位、牢靠的固定和早期功能锻炼是患肢及膝关节功能恢上一页 [1] [2] [3] [4] [5] 下一页
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