成人股骨干骨折内固定的研究进展△

Research progress in internal fixation of femoral shaft fractures in adults

摘要:

股骨干骨折（femoral shaft fractures, FSF）是骨科的常见病，多为高能量致伤，因其解剖的特殊性，骨折后大多出现明显位移，若治疗不当常出现畸形愈合、骨不愈合、脂肪栓塞及急性呼吸窘迫综合征等并发症，严重时可危及生命，需及时有效治疗以恢复股骨的连续性、正常力线、长度和功能，而目前最常用的髓内钉、接骨板等内固定方法各有优缺点。本文主要介绍成人股骨干骨折内固定的研究进展，以期为临床实践提供参考。

Abstract:

The femoral shaft fractures (FSF) are common fractures in clinical orthopedics, usually caused by high energy. As a result of its special anatomy, most fractures occur with obvious displacement, and accompanied with complications, such as fat embolism and acute respiratory distress syndrome that may threaten life in severe cases, as well as malunion and bone nonunion if treated improperly. There- fore, FSF should be treated timely and effectively to restore the continuity, normal alignment and length of the bone. However, the most com- monly used internal fixation methods, such as intramedullary nail and bone plate all have their own advantages and disadvantages. This arti- cle mainly introduces the research progress in internal fixation of femoral shaft fracture in adults, in order to provide reference for clinical practice.