旋入式自锁髓内钉治疗胫骨骨折  

Spin-in Self-locking Intramedullary Nail in the Treatment of the Tibial Fractures

作　　者：姚关锋[1] 齐伟力[1] 王新家[1] 陈孔冠[1] 王伟东[1] 

机构地区：[1]汕头大学医学院第二附属医院骨科,广东汕头515041

出　　处：《河北医学》2009年第4期426-428,共3页Hebei Medicine

摘　　要：目的:评估旋入式自锁髓内钉治疗胫骨骨折的疗效。方法:应用旋入式自锁髓内钉治疗胫骨骨折31例,闭合性骨折23例,开放性骨折8例。结果:按Johner-W ruh评分标准,优25例,良5例,可1例。平均随访14个月,平均愈合时间13周,无主钉弯曲、断裂现象,无感染。骨折全部愈合。结论:旋入式自锁髓内钉在治疗胫腓骨骨折中具有创伤小、固定确实、感染率低、骨折愈合率高等优点,是治疗胫骨骨折的理想方法,具有广泛的适应症及临床应用前景。Objective： To evaluate the effect of spin - in self - locking intramedullary nail in the treatment of the tibial fractures. Method： Thirty - one cased of the tibial fractures treated by the spin - in self - locking intramedullary nail. Open fractures in 23 cases, closed fractures in 8 cases. Result： According to the criteria of Johner - Wruh, excellent in 25 cases, good in 5 cases, fair in 1 case. The mean follow - up for 14 months, and the average healing time was 13 weeks. There was no nail bended or broken. There was no infection case. All were union. Conclusion： Spin -in self- locking intramedullary nail in the treatment of the tibial fracture has the advantage of less trauma, steady fixation, low infection rate and high healing rate. This is a ideal method of the treatment for the tibial fracture.

关 键 词：旋入式髓内钉 内固定 胫骨骨折 

分 类 号：R687.3[医药卫生—骨科学]