Interlocking Intramedutlary Nail With Locking Plate Fixation For The Treatment Of Adult Femoral Fractures Contrast

Objective：Study interlocking intramedullary nail with locking plate fixation for thetreatment of adult femoral shaft fractures in clinical efficacy of contrast.Method:The Select Second Clinical Hospital of Jilin University, September2009toSeptember2012femoral shaft fractures in84cases, male58, female26cases; aged35to60years, mean46.5years. Down contusion in5cases, injured in a car accident50cases, the falls injury nine cases, injured in20cases. Open fractures in4cases,and the remaining patients were closed fractures. The patients fracture type aswinquist typing, type Ⅱ51cases, Ⅲ30cases,3cases of type IV. Patients withfractures are unstable fractures, fracture of the left in37cases,48cases of fractureon the right side, no bilateral fractures at the same time. All of the subjects werefresh fractures, no merger vital organs, neurovascular injury, basic disease.Preoperative time after injury are less than8hours or7days after injury. Thetreatment is divided into: the use of interlocking intramedullary nail fixation groupand implementing the locking plate fixation group. Two groups were observed afterthe operative time, blood loss, postoperative drainage, fracture healing ambulationtime and postoperative complications (delayed healing, postoperative infection,implant loosening, malunion), knee dysfunction and other indicators comparativestudy.Results:84cases were followed up for6-12months follow-up time, an average of8months. Comparison of different treatment: the two treatment groups compared withinterlocking intramedullary nail treatment group shorter operative time, an averageof52.05±17.51min locking plate fixation group mean operative time was90.26±15.42min, blood loss interlocking intramedullary nail in the treatment group less theamount of bleeding statistics: interlocking intramedullary nail in the treatment group, the average129.76±61.92ml of locking plate fixation group239.62±52.56mlmean operative time and blood loss between the groups (P <0.01), with interlockingintramedullary nail group postoperative drainage of approximately64.59±8.29mllocking plate group postoperative drainage of about95.34±7.58ml comparedstatistically significant difference (P <0.05). Interlocking intramedullary nailinggroup patients out of bed time earlier, and after3months to6months after surgeryrehabilitation, locking internal fixation group is shorter than the locking platefixation group, locking plate fixation group The treatment group was3.82±0.91months, locking fixation for the treatment group was3.13±0.88, significantly betterthan the plate fixation group (P <0.05), the difference was significant. In nonunion,postoperative infection, postoperative fixation loose or broken, malunion, kneedysfunction and other indicators, the two procedures was no significant difference(P>0.05), the difference was not statistically significant.Conclusion:Interlocking intramedullary nail and plate fixation able to meet the requirementsof clinical treatment, in the treatment of femoral shaft fractures treated withinterlocking nails much better than locking steel treatment. Interlockingintramedullary nailing of femoral shaft fractures preferred method of treatment in thetwo treatment methods can be selected.