摘要
目的探讨TEN弹性髓内钉治疗胫骨骨折并发腓骨骨折的临床疗效。方法选取2009年1月~2015年10月行胫腓骨骨折手术患者19例,腓骨骨折采用弹性髓内钉（titanic elastic nailing TEN）固定,术后给予系统康复训练。结果术后随访12~21个月,平均（12.3±3.2）个月;患者术后8~12周开始部分负重活动。按照Johner-Wruhs评价标准,优11例,良7例,中1例。未出现皮肤感染、坏死、骨折不愈合的病例。结论弹性髓内钉（TEN）治疗胫骨骨折合并的腓骨骨折具有手术时间短、创伤小、疗效好、并发症少、功能恢复好的优点,真正符合微创手术的基本原则,尤其适合于腓骨多段粉碎性骨折,应作为治疗胫腓骨骨折中腓骨骨折的首选方法之一。
Objective To investigate the clinical effect of titanic elastic nailing in the treatment of tibial fractures complicated with fibula fracture. Methods From January 2009 to October 2015, 19 patients with comminuted fracture of tibia and fibula were selected, and the fibula fractures were treated with TEN（titanic elastic nailing）, all patients were given the same postoperative rehabilitation training after operation. Results The patients were followed up for 12 to 21 months with an average of（12.3 ± 3.2） months. The patients began to exercise some weight bearing activities after 8~12 weeks. According to Johner-Wruhs evaluation criteria, excellent in 11 cases, good in 7 cases, and middle in 1 cases. No skin infection, necrosis, nonunion cases. Conclusion Titanic elastic nailing（TEN） in the treatment of fractures of fibula has the characteristics of relatively short operation time, less trauma, good curative effect and little complication, meet the basic principles of minimally invasive surgery truly, should be used as one of the first choice for the treatment of fracture of fibula.[Key words] Fibula, Fracture, Internal fixation, Titanic elastic nailing
出处
《中国继续医学教育》
2016年第33期143-145,共3页
China Continuing Medical Education
关键词
腓骨
骨折
内固定
弹性髓内钉
Fibula
Fracture
Internal fixation
Titanic elastic nailing
