摘要
目的回顾分析带锁髓内钉治疗新鲜胫骨干的疗效。方法自2006年10月至2010年10月间使用带锁髓内钉治疗的有完整资料的新鲜胫骨干骨折48例,男40例,女8例;平均年龄39岁(16～82岁)。闭合骨折35例,按AO分型:A型6例;B型29例。开放骨折13例(Gustilo Ⅰ型8例,Gustilo Ⅱ型5例)。受伤至手术时间平均为8d(3h～14d)。闭合复位35例,切开复位8例;扩髓35例,非扩髓13例。结果 46例骨折愈合,愈合率为95.83%,平均愈合时间为5～9个月(2～12个月)。4例延迟愈合患者行动力化后骨折愈合。2例患者骨不连行髂骨取骨局部切开植骨后骨折愈合。术后无急性感染发生。结论闭合复位带锁髓内钉治疗胫骨干骨折在骨折愈合率、感染率、出血量、功能恢复情况和早期活动方面均较满意,是治疗新鲜胫骨骨干骨折较好的方法。
Objective To evaluate the effect of the interlocking nail for tibia and fibular fractures.Methods This study reviews 48 cases tibia and fibular fractures treated with locking intramedullary nail fixation from October 2006 to October 2010.According to the AO classification there were 6 type A and 29 type B.There were 40 male and 8 female with mean age 39 years（range 16～82 years）.Duration from injury to operation was 8 days（3 hour to 14 days）.Close reduction was 35 cases and open reduction were 8 cases.Results Union rate was 95.83%,mean union time was 5 months（3～12 months）on average.Conclusion The result is satisfactory in bone healing low infection reduced blood loss and rapid recovery of the joint and body with the close interlocking nailing to be treatment of fresh tibia and fibular fracture.It is a perfect method.
出处
《中国实用医药》
2011年第18期42-44,共3页
China Practical Medicine
关键词
骨折固定术
带锁髓内钉
扩髓
胫腓骨骨折
Fracture fixation
Interlocking intramedullary nail
Tibia and fibular fractures
