应用尺桡骨交锁髓内钉治疗前臂粉碎性骨折  

Interlocking Intramedullary Nailing for Treatment of Comminuted Fractures of Forearm

作　　者：王立邦[1] 王刊石[1] 徐瑞生[1] 吴洁石[1] 薛骏[1] 包聚良[2] 

机构地区：[1]江苏省无锡市第三人民医院骨科,214041 [2]第二军医大学附属上海长征医院骨科

出　　处：《中国骨与关节损伤杂志》2007年第1期26-27,共2页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨应用交锁髓内钉治疗前臂尺桡骨粉碎性骨折的可行性与疗效。方法应用Smith-Nephew公司生产的尺桡骨交锁髓内钉治疗前臂粉碎性骨折29例。结果术后随访6～36个月,骨折愈合时间8～14周,平均11.2周。术后1例骨折延迟愈合,1例锁钉钉道感染,取钉后愈合,所有患者均未发生骨不连。按Anderson评分标准评定:优18例,良9例,可2例。术后肘关节伸屈活动功能丧失0°～20°,平均10.2°,前臂旋前功能丧失5°～15°,平均9.9°,前臂旋后功能丧失5°～15°,平均11.2°。结论应用交锁髓内钉固定方法是治疗尺桡骨骨折的较好方法。Objective To discuss the feasibility and efficacy of the treatment of eomminuted fractures of forearm by using interlocking intrameduUary nail. Methods Twenty - nine patients with comminuted fractures of forearm were treated by Smith- Nephew interlocking intramedullary nailing system. Results Postoperatively the patients were followed up from 6 to 36 months. Bone healing was observed on average 11.2 weeks postoperatively, ranging from 8 weeks to 14 weeks. There was delayed union in one patient, and nail track infection in one patient which was solved after nail removal. None had non- union. According to Andersor＇s evaluation standard, 18 patients graded as excellent, 9 as good and 2 as fair. The average loss of elbow extension - flexion, forearm pronation and supination were 10.2°, 9.9°and 11.2° respectively. Conclusion The interlocking intramedullary nailing is a preferable method for the treatment of forearm comminuted fractures.

关 键 词：交锁髓内钉 尺骨 桡骨 粉碎性骨折 

分 类 号：R683.42[医药卫生—骨科学]