摘要
目的：对带锁髓内钉内固定治疗下肢长骨骨折的临床效果进行评价。方法：回顾性分析我院2000年1月～2005年1月应用带锁髓内钉内固定治疗的长骨骨折265例，其中胫腓骨骨折176例，股骨骨折89例；闭合性骨折139例，开放性骨折126例；新鲜骨折238例，陈旧性骨折27例。结果：本组265例获得随访，随访平均8个月。骨性愈合251例，延迟愈合14例，术后伤口感染2例。按Johner—wruh标准评定：优211例，良40例，中14例，优良率95％。平均愈合时间7个月。结论：带锁髓内钉治疗下肢长骨骨折具有适应证广、创伤小、固定可靠、功能恢复快等优点，可作为长骨骨折治疗的首选方法。
Objective：To assess the clinical effects of intramedullary interlocking nails in treatment of lower limb long bone shaft fracture. Methods ： From Jan. 2000 to Jan. 2005,265 patients with lower limb long bone shaft fractures were treated with intramedullary interlocking nails. 176 patients with tibial-fibular fracture, 89 ones with thigh fracture, 139 ones with closed fracture, 126 ones with open fracture,238 ones with fresh fracture and 27 ones with old fracture. Results ：265 patients were followed up,the average follow-up period was 8 months. 251 patients got bone healing,14 patients had delayed healing,2 patients got infections. According to the Johner-wruh criteria,211 patients had an excellent outcome, 40 patients had good outcome,and 14 patients had satisfactory outcome,The excellent and good rate was 95% ,average healing time was 7 months. Concluslon：intramedullary interlocking nails is more suitable for lower limb long bone shaft fracture, its fixation is reliable, trauma less, function recovery fast. It can be used as first-choice therapy in lower limb long bone shaft fracture.
出处
《临床误诊误治》
2006年第11期33-35,共3页
Clinical Misdiagnosis & Mistherapy
关键词
骨折固定术
内
髓内钉
股骨骨折
胫骨骨折
Fractures fixation, Intramedullary
Intramedullary nailing
Thigh fracture
Tibial fracture
