旋入式自锁髓内钉治疗四肢长管状骨骨折  

Rotary serf-locking intramedullary nail for treating long tubular bone fracture of extremities

作　　者：于萌蕾[1] 胡军[1] 赵伟林[1] 夏雪[1] 宋建新[1] 韩伟[2] 王新家[2] 

机构地区：[1]汕头大学医学院第一附属医院骨科,广东省汕头515041 [2]汕头大学医学院第二附属医院骨科

出　　处：《中国基层医药》2009年第7期1229-1230,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的评价旋入式自锁髓内钉治疗四肢长管状骨骨折的效果。方法对122例四肢长管状骨骨折（其中股骨59例，胫骨57例，肱骨6例）患者进行了回顾性研究。结果骨折全部达到临床愈合标准，平均愈合时间24周，无骨折畸形愈合及感染、内固定物断裂，骨折愈合后均取出内固定物，平均取钉时间14个月，其中5例取钉困难，1例取钉后发生再骨折。结论旋入式自锁髓内钉治疗四肢长管状骨骨折具有操作简单、对组织损伤小、无钟摆效应、患者可以术后早期活动等优点。Objective To evaluate the results of rotary self-locking intramedullary nail （RSIN） for treating long tubular bone fracture of extremities, and discuss the current problems. Methods One hundred and twenty-two patients with long tubular bone fracture of extremities, including 59 femoral fractures,57 tibial fractures and 6 humeral fractures,who had been treated by RSIN were retrospectively investigated. Results All of the patients achieved clinical healing,with an average time of 24 weeks. Nobody was found to appear malunion ,infection and the break of internul fixture. Internal fixations were removed after the fracture healing,with an average time of 14 months. It was difficult to remove the internal fixations in 5 cases, and one case refractured after removing the internal fixations. Conclusion RSIN has the advantages such as easy operation,less trauma, no pendulum effect, early motion after operation and so on, except the characters of general interlocking intramedullary nail such as anti-rotation, anti-cfispition and anti-displacement.

关 键 词：骨折 髓内钉 骨折固定术 内 

分 类 号：R687[医药卫生—骨科学]