摘要
目的探讨非扩髓型带锁髓内钉治疗胫骨多段骨折的适应证及临床疗效。方法1998年1月—2000年12月采用带锁髓内钉治疗胫骨多段骨折21例,其中男15例,女6例,年龄21～61岁,平均36.5岁,闭合性骨折7例,开放性骨折14例。按Gustilo分类：Ⅰ型2例,Ⅱ型7例,Ⅲa型5例。结果术后随访平均18月,骨折全部愈合,平均愈合时间14周。关节功能按Johner-W ruhs评分标准：优18例,良3例。结论非扩髓型带锁髓内钉治疗胫骨多段骨折具有固定坚强、创伤小、术后可早期活动、骨折愈合率高等优点,是胫骨多段骨折首选的内固定治疗方法。
Objective To evaluate the indications and clinical effect of unreamed interlocking intramedullary nail in the treatment of segmental fracture of the tibia.Methods From January 1998 to December 2000,21 patients with segmental tibia fractures were treated with unreamed interlocking intramedullary nail.Of the patients,15 cases were male and 6 female,aged ranging from 21 to 61 years old.Closed fractures were 7 cases and open fractures were 14 cases.According to the Gustilo classification of open injury,there were 2 cases of typeⅠ,7 cases type Ⅱ and 5 cases type Ⅲa.Results All patients were followed up for an average 18 months.All fractures were completed healed.The period of fracture union averaged 14 weeks.According to Johner-Wruhs＇s criterion,the results of the treatment were evaluated as excellent in 18 patients,good in 3 patients.Conclusion Unreamed interlocking intramedullary nail is the first method for treatment segmental tibia fractures.It has the advantages of stable fixation,less trauma,early exercise and high rate of fracture healing.
出处
《临床军医杂志》
CAS
2009年第4期586-587,共2页
Clinical Journal of Medical Officers
关键词
带锁髓内钉
胫骨骨折
interlocking intramedullary nail
tibia fracture
