小切口开放复位带锁髓内钉固定治疗胫骨骨折18例体会  

The Application of the Technology of Intramedullary Locking Nail with Small Incision of 18 cases

作　　者：周志伟 马远花 赵正斌 

机构地区：[1]永平县中医院,云南永平672600

出　　处：《大理学院学报（综合版）》2009年第2期46-47,共2页Journal of Dali University

摘　　要：目的:观察采用小切口复位带锁髓内钉治疗胫骨骨折的疗效。方法:2003年4月—2006年10月,对18例胫骨骨折行小切口复位带锁髓内钉固定,其中男14例,女4例,年龄20～58岁;闭合骨折13例,开放性骨折5例,均采用扩髓。结果:18例随访16例按期愈合,2例延迟愈合,1例肢体短缩2cm,1例锁钉断裂1根,髓内钉完好,其它无并发症。结论:小切口复位带锁髓内钉固定是治疗胫骨骨折的一种较好方法,具有创口小、骨折复位理想、固定坚强、骨折愈合率高、并发症少等优点。Objective： To observe the curative effect of intramedullary locking nail in the treatment of shinbone fracture. Methods： During the period between April 2003 and October 2006, 18 patients of shinbone fracture were treated with the technology of intramedullary locking nail （14 men and 4 women, aged 20-58）. 13 of them suffered from closed fracture and 5 of them, open fracture. Reaming was applied in the 18 cases. Result： The wounds in 16 cases were healed in time while the healing in the other two cases was delayed. In one case the patient＇ss limb was 2cm minimized and in another case the locking screw was broken but the nail in the medulla remained the same as before. No complication took place. Conclusion： The curative effect of the technology was satisfactory： small wounds, desired reduction, firm fixation, better healing and less complication.

关 键 词：胫骨骨折 小切口 带锁髓内钉固定 

分 类 号：R683[医药卫生—骨科学]