带锁髓内钉对四肢创伤骨折后骨不连的手术治疗效果的分析张雪松

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《临床用药研究》( ISSN3105-6741、EISSN3105-675X )

发布者：Quest Press

发布日期：2026/1/11

10.12479/questpress-lcyyyj.20250213

Open Access

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带锁髓内钉对四肢创伤骨折后骨不连的手术治疗效果的分析

张雪松

河南中医药大学第五临床医学院（郑州人民医院），河南郑州，450003

摘要：目的：探究带锁髓内钉在四肢创伤骨折后骨不连手术治疗中的应用效果，为临床治疗方案选择提供参考。方法：选取2021年3月至2023年3月本院收治的76例四肢创伤骨折后骨不连患者作为研究对象，采用随机数字表法分为观察组与对照组，各38例。对照组采用钢板内固定术治疗，观察组采用带锁髓内钉内固定术治疗。比较两组手术质量指标（手术用时、住院时间、骨折愈合时间）、术后不同时间点视觉模拟疼痛评分（VAS）、骨折端愈合优良率、并发症发生率及术后1个月、3个月的RUSS评分、Lane-Sandhu评分、Fugl-Meyer评分。结果：观察组手术用时、住院时间、骨折愈合时间均短于对照组（P＜0.05）；观察组术后1周、2周、3周VAS评分均低于对照组（P＜0.05）；观察组骨折端愈合优良率（97.37%）高于对照组（86.84%）（P＜0.05）；观察组并发症发生率（2.63%）低于对照组（10.53%）（P＜0.05）；观察组术后3个月RUSS评分、Lane-Sandhu评分、Fugl-Meyer评分均高于对照组（P＜0.05）。结论：带锁髓内钉治疗四肢创伤骨折后骨不连，可缩短手术及康复时间，减轻患者疼痛，提升骨折愈合效果，降低并发症风险，促进肢体功能恢复，临床应用价值显著。
关健词：带锁髓内钉；四肢创伤骨折；骨不连；手术治疗；临床效果；肢体功能

Analysis of the surgical treatment effect of intramedullary nail with locking mechanism for non union after limb traumatic fracture

Xuesong Zhang
The Fifth Clinical Medical College of Henan University of Chinese Medicine（Zhengzhou People's Hospital），450003

Abstract：Objective：To explore the application effect of intramedullary nail with locking mechanism in the surgical treatment of non union after limb traumatic fracture，and provide reference for clinical treatment plan selection. Method: 76 patients with non union after limb trauma fractures admitted to our hospital from March 2021 to March 2023 were selected as the research subjects. They were randomly divided into an observation group and a control group，with 38 cases in each group，using a random number table method. The control group was treated with steel plate internal fixation，while the observation group was treated with locking intramedullary nail internal fixation. Compare two sets of surgical quality indicators（surgical time，hospital stay，fracture healing time），visual analog pain score（VAS） at different postoperative time points，excellent fracture healing rate，incidence of complications，and RUSS score，Lane Sandhu score，Fugl Meyer score at 1 and 3 months after surgery. The observation group had shorter surgical time，hospitalization time，and fracture healing time than the control group（P<0.05）； The VAS scores of the observation group were lower than those of the control group at 1，2，and 3 weeks after surgery（P<0.05）； The excellent rate of fracture healing in the observation group（97.37%） was higher than that in the control group（86.84%）（P<0.05）； The incidence of complications in the observation group（2.63%） was lower than that in the control group（10.53%）（P<0.05）； The RUSS score，Lane Sandhu score，and Fugl Meyer score of the observation group were all higher than those of the control group at 3 months after surgery（P<0.05）. Conclusion: The use of locking intramedullary nails for the treatment of non union after limb trauma fractures can shorten surgical and rehabilitation time，reduce patient pain，improve fracture healing outcomes，lower the risk of complications，and promote limb function recovery. Its clinical application value is significant.
Keywords : intramedullary nail with locking mechanism；Limb trauma fracture；Bone non union；Surgical treatment；Clinical efficacy；Limb function

参考文献
[1]王龙.带锁髓内钉固定治疗骨折后骨不连疗效及对骨代谢指标的影响[J].外科研究与新技术（中英文），2025（02）:170-173.
[2]祁维明.四肢创伤骨折后骨不连患者行带锁髓内钉治疗的效果分析[J].青海医药杂志，2023（01）:10-13.
[3]李青.负压封闭引流联合红外线治疗对骨科四肢创伤患者创面愈合的应用研究[J].黑龙江医药，2025（03）:666-669.
[4]孙振国，翁伟，杨红航，张占丰，闵继康.双钢板技术结合自体髂骨植骨治疗髓内钉术后股骨骨不连[J].中国骨伤，2021（03）:288-292.
[5]茹庆超，杨挺，张志昌，路坦.带锁髓内钉固定与钢板螺钉内固定治疗四肢创伤骨折后骨不连患者的临床效果比较[J].河南医学研究，2024（20）:3688-3691.
[6]茹庆超，杨挺，张志昌，等.带锁髓内钉固定与钢板螺钉内固定治疗四肢创伤骨折后骨不连患者的临床效果比较[J].河南医学研究，2024，33（20）:3688-3691.
[7]闫孝明，纪方成，仙跃华.带锁髓内钉固定术治疗四肢创伤性骨折后骨不连的临床效果及对四肢活动情况的影响[J].中国现代药物应用，2023，17（16）:60-63.

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