Clinical effects of internal fixation via different approaches for treatment of femoral shaft fractures

YOU Lin; CHEN Xian-shuai; FAN You-fei

doi:10.11659/jjssx.06E022089

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Clinical effects of internal fixation via different approaches for treatment of femoral shaft fractures

Clinical Research | 更新时间：2023-06-13

- Clinical effects of internal fixation via different approaches for treatment of femoral shaft fractures
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 6, Pages: 516-518(2023)
- 作者机构：
  
  亳州市人民医院骨科，安徽亳州 236800
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.06E022089
  CLC： R641
- Published：25 June 2023，
  
  Received：29 June 2022，
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尤琳,陈先帅,凡有非.不同入路内固定治疗股骨干骨折的临床效果[J].局解手术学杂志,2023,32(06):516-518.

YOU Lin,CHEN Xian-shuai,FAN You-fei.Clinical effects of internal fixation via different approaches for treatment of femoral shaft fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(06):516-518.
尤琳,陈先帅,凡有非.不同入路内固定治疗股骨干骨折的临床效果[J].局解手术学杂志,2023,32(06):516-518. DOI： 10.11659/jjssx.06E022089.

YOU Lin,CHEN Xian-shuai,FAN You-fei.Clinical effects of internal fixation via different approaches for treatment of femoral shaft fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(06):516-518. DOI： 10.11659/jjssx.06E022089.

摘要

目的

比较不同入路内固定治疗股骨干骨折的效果。

方法

回顾性分析我院行单侧入路手术的88例股骨干骨折患者的临床资料，按照手术入路的不同将患者分为外侧入路组（

40）与后外侧入路组（

48），分别采取股骨外侧入路内固定治疗和股骨后外侧入路内固定治疗。记录2组手术时间、术中出血量、骨折愈合时间及治疗费用，评估2组术前及术后1周、3个月的疼痛程度和大腿中段软组织肿胀情况，对比2组术后1年内膝关节功能和并发症发生率。

结果

与外侧入路组相比，后外侧入路组术中出血量较少，骨折愈合时间较短，住院费用和总费用较低，差异均有统计学意义（

0.05）；2组手术时间及手术费用比较差异无统计学意义（

0.05）；2组术后视觉模拟量表（VAS）评分和大腿中段软组织肿胀差值比较，差异有统计学意义（

0.05）；后外侧入路组膝关节功能优良率为91.67%，高于外侧入路组的72.50%，差异有统计学意义（

0.05）；2组并发症发生率比较，差异无统计学意义（

0.05）。

结论

股骨后外侧入路内固定治疗股骨干骨折能减少术中出血量，缩短骨折愈合时间，缓解患者术后疼痛、组织水肿情况，恢复膝关节功能，且治疗费用相对较低，安全可靠。

Abstract

Objective

To compare the effects of internal fixation via different approaches in the treatment of femoral shaft fractures.

Methods

The clinical data of 88 patients with femoral shaft fractures treated by unilateral approach surgery in our hospital were analyzed retrospectively. According to the different surgical approaches， the patients were divided into the lateral approach group （

=40） and the posterolateral approach group （

=48）， and treated with internal fixation via lateral femoral approach and internal fixation via posterolateral femoral approach， respectively. The operation time， intraoperative blood loss， fracture healing time， treatment cost of the two groups were recorded. The pain degree and soft tissue swelling in the middle thigh before surgery， 1 week and 3 months after surgery of the two groups were evaluated. The knee joint function within 1 year after surgery and the incidence of complications of the two groups were compared.

Results

Compared with the lateral approach group， the posterolateral approach group had less intraoperative blood loss， shorter fracture healing time， lower hospitalization and total costs， with statistically significant differences （

0.05）. There was no significant difference in operation time or cost between the two groups （

0.05）. The postoperative visual analogue scale （VAS） score and differences of soft tissue swelling in the middle thigh between the two groups were statistically significant （

0.05）. The excellent and good rate of knee joint function in the posterolateral approach group was 91.67%， which was higher than 72.50% in the lateral approach group， and the difference was statistically significant （

0.05）. There was no significant difference in the incidence of complications between the two groups （

0.05）.

Conclusion

Internal fixation via posterolateral femoral approach for femoral shaft fractures can reduce intraoperative blood loss， shorten fracture healing time， relieve postoperative pain and tissue edema of patients， restore knee joint function， and the treatment cost is relatively low， which is safe and reliable.

关键词

外侧入路后外侧入路内固定股骨干骨折骨折愈合膝关节功能

Keywords

lateral approachposterolateral approachinternal fixationfemoral shaft fracturesfracture healingknee joint function

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