摘要
目的探讨交锁髓内钉在下肢长骨干骨折骨不连治疗中的应用方法,并对其疗效进行评估。方法2000年～2004年应用交锁髓内钉治疗下肢长骨干骨折骨不连62例。结果本组术后随访6个月～2a(平均14个月),除1例因术后过早下地活动,导致髓内钉折断,需再次手术,其余病例均愈合,愈合率98.4%。结论交锁髓内钉治疗下肢长骨干骨折骨不连,具有固定牢靠,有效维持肢体长度、早期活动、有利于关节功能恢复及并发症少等优点。
Abstract： [Objective] To explore retrospectively the using techniques of interlocking intramedallary nail in the treatment of nonunion in long bone shaft after fracture and evaluate prospectively the outcomes of the treatment. [Methods] Sixty two eases suffered from nonunion in long bone shaft after fracture between 2000 and 2004 were treated by interlocking intramedallary nail protocol, [Results] After ari average 1.2 years of follow-up ranging from 6 months to 2 years, 61/62 cases had achieved a osteal healing of the nonunion, the healing rate was 98,4%. 1/62 cases had exchanged another interlocking intramedallary nail protocol due to walk burdened too early lead to the break of interlocking intramedallary nail. [Conclusion] Interlocking intramedallary nail protocol have some advantages, such as providing firm fixation , feasible early activity, effective maintaining the limb length, benefiting the recover of the joint function, less complications in the treatment of nonunion in long bone shaft after fracture.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第4期589-591,共3页
China Journal of Modern Medicine
关键词
交锁髓内钉
长骨干骨折
下肢
骨不连
治疗
interlocking intramedallary nail
long bone shaft fracture
lower llmb
nonunion
treatment
