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带锁髓内钉治疗胫骨多段骨折21例 被引量:17

Treatment of segmental fracture of tibia of 21 cases by interlocking nail
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摘要 目的 介绍带锁髓内钉治疗胫骨多段骨折的临床经验。方法 应用带瞄准器的带锁髓内钉治疗 2 1例胫骨多段骨折 ,手术采用小切口开放复位 ,用瞄准器锁定骨折远近端。结果 平均随访15 5个月 ,按Johner Wruch功能评价标准 ,优 18例 ,良 3例。 1例延迟愈合 ,2例软组织感染。结论 带锁髓内钉治疗胫骨多段骨折疗效满意 。 Objective To introduce the experience in treating segmental fracture of tibia shaft by interlocking nail.Methods 21 cases of segmental fracture of tibia shaft were treated by interlocking nail with limited open reduction, and distal target devices were used to lock the fracture. Results The patients were followed up for 15\^5 months.The function recovery was evaluated by Johner Wruch system in which 18 cases were excellent,3 cases were good,1 case was delay union, and 2 cases had soft tissue infection. Conclusion The curative effects of the procedure is satisfied with the advantage of easier manipulation.
出处 《临床骨科杂志》 2002年第4期291-292,共2页 Journal of Clinical Orthopaedics
关键词 瞄准器 带锁髓内针 胫骨骨折 distal target device interlocking intramedullary nail tibia fractures
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参考文献7

  • 1Browner BD. The science and practice fo intramedullary nailing [M]. 2nd ed,Baltimore:Willians & Wilkins,1996:209~212
  • 2Johner R,Wruch SO. Classification tibia shaft fractures and correlation with results after rigid fixation [J]. Clin Orthop,1983;(178):7~25
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  • 4Gregory P,Sanders R. The treatment of closed unstable tibia shaft fractures with unreamed interlocking nail [J].Clin Orthop,1995;(315):48~55
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  • 7Hemley MB,Chapman JR, Agel J et al. Treatment of type Ⅱ,ⅢA,ⅢB open fracturesof the tibia shaft:a prospoctive comparison of unreamed interlocking intramedullary nails and half pin external fixations [J]. J Orthop Trauma,1998;12(1):1~8

二级参考文献1

  • 1Wu C C,Arch Orthop Trauma Surg,1992年,111卷,232页

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