髓内扩张自锁钉治疗胫骨骨折21例  

Treatment of 21 cases tibial fractures with intramedullary expanded self-locking nailing

作　　者：管立新[1] 孙良业[1] 吕波[1] 

机构地区：[1]六安市人民医院骨科,安徽237005

出　　处：《安徽卫生职业技术学院学报》2009年第3期26-27,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨髓内扩张锁钉治疗胫骨骨折的临床疗效。方法:胫骨骨折21例,其中新鲜骨折19例,陈旧性骨折2例;采用开放置入髓内扩张自锁钉治疗。结果:经6～18个月随访,21例均达到骨愈合。无术后感染、无弯钉、断钉及松脱现象,按Klemm功能评定标准,优18例,良2例,可1例,优良率95.2%。结论:髓内扩张自锁钉治疗胫骨骨折具有操作简单,固定可靠,手术时间短,骨折愈合快,可早期功能锻炼及负重,术中不需X-ray监视,便于推广。Objective： To evaluate the therapeutic effects of intramedullary expanded self-locking nailing （IESN） on the treatment of tibial fracutures. Methods： There were 21 patients with tibial fractures in this group, 19 fresh fractures and 2 old fractures. Open reduction with intramedullary expanded self- locking nailing was performed in all the cases.Results 21 cases were followed up from 6 to 18 months, an average of 12 months, and all showed bony union. No inflammation or internal fixation failure, and no nailing bended or broken happened in the group. Acording to Klemm evaluation method, the results were excellent in 18cases, good in 2 and fair in 1, the overall rate of good and excellent was 95.2%. Conclusion： Intramedullary expanded self-locking nailing can be used widely in tibial fractures, with simple operation, solid fixation , higher healing rate and excellent function.

关 键 词：胫骨骨折 骨折内固定术 髓内 

分 类 号：R683.42[医药卫生—骨科学]