环抱记忆合金加螺钉、张力带治疗髋关节置换术后股骨干骨折

摘要

Objective:Toobservethetherapeuticeffectofembaymemoryalloyaddingscrewandtensionzoneinthetreatmentoffemoralshaftfractureafterhipreplacement.Methods:Divided27casesofFemoralshaftfractureafterHipreplacementfrom2007Aprilto2012Juneinourhospitalintotreatmentgroup(with16case)andcontrolgroup(with11case).Thetreatmentgrouptookembaymemoryalloyaddingscrewandtensionzoneinthetreatment.Thecontrolgrouptookplatewithscrewaddingwirewithbinding.Results:Theaveragetimeoffracyurehealingandthetimeofremovaldefaultobjectofthetreatmentgroupweresignificantlylessthanthecontrolgroup.Thefrequencyofdefaultobjectlooseandrecurrenceofthetreatmentgroupwerealsosignificantlylessthanthecontrolgroup.Conclusion:Themethodofembaymemoryalloyaddingscrewandtensionzoneismorefirmandreliable,andisworthyofusingintreating.%　　目的：探究环抱记忆合金加螺钉、张力带治疗髋关节置换术后股骨干骨折的临床疗效.方法：笔者所在医院于2007年4月-2012年6月收治27例髋关节置换术后股骨干骨折患者，分为治疗组(16例)和对照组(11例).治疗组给予环抱记忆合金加螺钉、张力带治疗；对照组给予钢板螺钉加钢丝捆扎固定治疗，观察对比分析两组的临床疗效.结果：治疗组患者的平均骨折愈合时间、取出内固定物的时间均显著少于对照组(P<0.05)，且内固定物出现松动断裂的频率、骨折复发率显著低于对照组(P<0.05).结论：环抱记忆合金加螺钉、张力带固定比钢板螺钉加钢丝捆扎固定更牢固可靠，且骨折复发率低，值得临床推广应用.