摘要
目的 探讨胫骨干骨折外固定更换内固定的时机及内置物的选择. 方法 对2003年2月-2012年2月57例胫骨干骨折外固定更换内固定的患者临床资料进行分析.记录A组（2周内更换内固定,35例）和B组（2周后更换内固定,22例）分别更换内固定（髓内钉或钢板）的治疗情况并进行比较. 结果 A组感染1例,感染率3％;发生骨愈合不良4例,愈合不良发生率11％.B组感染5例,感染率23％;发生骨愈合不良3例,愈合不良发生率14％.选择髓内钉A组的感染率为0,B组的感染率为44％.选择钢板A组和B组的感染率均较为8％.结论 2周内更换内固定的治疗效果明显好于2周后更换.2周内更换钢板和髓内钉时感染率均较低,2周后更换时选择钢板进行内固定相对安全.钉道感染是更换内固定后发生感染的高危因素.
Objective To investigate the time and implant selection in conversion from external fixation to internal fixation of tibial shaft fracture.Methods Data of 57 cases of tibial shaft fracture fixed externally followed by internal fixation from February 2003 to February 2012 were analyzed.Internal fixation （intramedullary nails or plates） initiated within 2 weeks （Group A,n =.35） and over 2 weeks （Group B,n =22） were compared in outcomes.Results One infection （3％） and four poor bone healing （11％） were observed in Group A.Five infections （23％） and three poor bone healing （14％） occurred in Group B.For intramedullary nail fixation,no infection was observed in Group A but infection rate of44％ was found in Group B.For plate internal fixation,infection rate was 8％ for both groups.Conclusions The conversion from internal fixation to internal fixation had better start within 2 weeks,with better resuhs,lower rate of infection and safer in comparison with that over 2 weeks.In addition,pin-tract infection is the high risk factor for infection after the conversion of the fixation.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2014年第7期652-655,共4页
Chinese Journal of Trauma
关键词
骨折固定术
内
外固定器
感染
分期治疗
Fracture fixation, internal
External fixators
Infection
Stage treatment
