摘要：目的：探讨逆行交锁髓内钉治疗股骨髁上及远端骨折的疗效。方法：应用逆行交锁髓内钉治疗股骨髁上骨折及远端骨折19例，其中股骨远端粉碎型骨折12例。术后随访临床评定效果。结果：随访8～25个月(平均13个月)，骨愈合良好，骨愈合时间3～10个月(平均4.5个月)，术后功能恢复总体优良率达94.7%。结论：逆行交锁髓内钉治疗股骨髁上及远端骨折，固定牢靠，术后并发症少，愈合率高，功能恢复快。

    关键词：股骨；骨折；逆行交锁髓内钉；内固定

    Treatment of Femoral Intracondylar Fracture with Intramedullary Supracondylar Nail

    LIU Meng-zhang, ZOU Yu-cai, ZENG Run-ming, et al

    (The Second Hospital of Shantou，Guangdong Shantou 515011，China)

    Abstract： Objective： To study the use of intramedullary supracondylar nail(IMSC)in the treatment of femoral intracondylar fracture. Method： 19 cases of the femoral intracondylar fracture were treated with IMSC nail, 12 cases “T” or “Y” Shape comminuted fracture . All of the cases were systemic followed-up and had a clinic evaluation. Result： Ten cases were followed-up for 8～25 months(mean 13 months),none had early or late complications and results were good. The choiceness rate was 94.7% and all fractures united 3～10months(mean 4.5 months).Conclusion： The use of IMSC nail in this group presented advantages of simple performance the solid fixation and therefore become an effective therapy for femoral intracondylar fracture. ......