摘要
目的：探讨交锁髓内钉治疗胫腓骨开放性骨折的方法，评估其疗效。方法：2002年1月～2005年1月，应用交锁髓内钉治疗胫腓骨开放性骨折52例，GustiloⅠ型16例，Ⅱ型26例，Ⅲa型10例。所有病例经6～24个月随访，平均16．5个月。结果：术后疗效采用Jonner-Wruh评定标准：优43例，良7例，中2例，差0例，优良率96．15％，骨折全部愈合，平均愈合时间22周，仅1例浅表感染，无延迟愈合或不愈合。结论：交锁髓内钉治疗胫腓骨开放性骨折固定牢靠，并发症少，愈合率高，愈合时间短，其生物力学特性更适合胫腓骨骨折愈合需要，更适用于治疗OustiloⅢa型以下的胫腓骨开放性骨折，尤其适用多段骨折。
Objective： To explore efficacy of interlocking intramedullary nail in the treatment of open fractures of the tibia and fibula. Methods： From January 2002 to January 2005, application interlocking intramedullary nail in the treatment of 52 cases of open fractures of the tibia and fibula. GustiloⅠ 16 cases,Gustilo Ⅱ 26 cases,GustiloⅢ 10 cases. All were followed-up for 6-24 months with an average of 16.5 months. Results：Jonner-Wruh effect after adoption fair. Fine in 43 cases,good in 7 cases,medium in two cases,and no poor. The excellent rate was 96.15% ,and all of the fractures healed,and the average healing time was22 weeks,only one case showed a superficial infection,delayed union or nonunion. Conclusion：The method of interlocking intramedullary nail has the characteristics of stability, few complications and high rate of fracture recovery, It is more suitable for the treatment of below GustiloⅢa open tibia and fibula fracture, especially for many segment fracture.
出处
《实用临床医学（江西）》
CAS
2007年第3期56-58,60,共4页
Practical Clinical Medicine
关键词
交锁髓内钉
胫腓骨骨折
开放性骨折
手术治疗
interlocking intramedullary nail
fracture of tibia and fibula
open fracture
operative treatment
