胫骨开放骨折不扩髓交锁髓内钉与外固定支架治疗比较  

Treatment of Open Tibial Fractures:Comparison of Non reamed Interlocking Intramedullary Nail and External Fixator

作　　者：江敞 唐明杰 施忠民 

机构地区：[1]温岭市中医院,浙江温岭317500

出　　处：《中国骨伤》2000年第1期14-15,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的　对比外固定支架与不扩髓交锁髓内钉对胫骨Ⅲ型B开放骨折的治疗结果。方法　33例胫骨Ⅲ型B开放骨折的患者,随机分为两个治疗组,17例采用外固定支架,16例采用髓内钉固定,进行疗效对比分析。结果　髓内钉组的感染率、不良愈合率、不愈合率及愈合时间均低于支架组,且前者更容易护理,二期创面处理更方便。结论　我们认为不扩髓交锁髓内钉较之外固定支架更适用于Ⅲ型B胫骨开放骨折。Objective To compare the treatment results of non reamed interlocking intramedullary nail and external fixator in Grade Ⅲ B open tibial fractures.Methods Of 33 cases,17 were treated with external fixator;16 were treated with non reamed interlocking intramedullary nails.Results The nailed group have advantage over the external fixed group as follows:lower rate of infection,delayed union and nonunion;short time of healing;easier care;easier management of the wound.Conclusion Compared with external fixation,non reamed interlocking intramedullary nail is more suitable for the treatment of Grade Ⅲ B open tibial fracture.

关 键 词：胫骨开放骨折 外固定支架 髓内钉 治疗 

分 类 号：R683.420.5[医药卫生—骨科学]