Objective: To retrospective determine current techniques and perioperative complications of intramedullary nailing of diaphyseal femoral fractures. Methods: 120 cases of diaphyseal femoral fractures were collected. Information about fracture classification, time to operation, injury severity score, type of nail, and operative technique, as well as peri -operative complications such as infection, femoral neck fracture were selected. Results: The preferred position for implantation was supine (82.5%). Most surgeons used a traction table (57.1%) and an antegrade implantation technique (84.5%). In 59.2% of the cases, an isolated femur fracture was present, while the rest sustained multiple injuries. In polytrauma pa -tients and patients with severe thorax injuries, most surgeons were chosed a delayed treatment with intramedullary femoral nails. Interestingly, 38.0% of the patients with severe thorax injuries were treated on the first day with intramedullary femoral nails. The total rate of complications for intramedullary femoral nailing was low, but a high rate of intraoperative femoral neck fractures was observed. Conclusion: The vast majority of surgeons prefer the supine position and the ante-grade technique to implant intramedullary femoral nails. The incidence rate of complication is low; A large number of poly -trauma patients and patients with severe thoracic trauma are treated with intramedullary femoral nails on the first day of trauma.%目的:回顾性分析股骨干骨折髓内钉固定术前、术中和术后特点,为临床提供参考.方法:回顾性分析南方医科大学附属南方医院120 例股骨干骨折髓内钉固定术前特点及术后并发症等指标,包括病例特点、骨折类型、手术时间、损伤评分、髓内钉类型、手术方法,术后并发症例如感染、股骨颈骨折等指标.结果:大部分手术采用仰卧位(82.5%)、牵引床牵引(57.1%)和顺行固定技术(84.5%).有59.2%病例为单纯性股骨干骨折,剩余为复合型多发伤,复合型伤和伴有严重胸椎骨折患者手术一般采取延期髓内钉治疗,38.0%的复合严重胸椎损伤的患者一般在创伤后第1 天进行髓内钉手术,髓内钉并发症的发生率较低,但是股骨颈骨折发生率较高.结论:大部分股骨干骨折患者髓内钉固定术采用仰卧位顺行植入髓内钉,并发症的发生率较低;对于多发性创伤的患者,需要在创伤后1 d 内及时进行髓内钉固定术.
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