带锁髓内钉内固定治疗胫骨骨折的体会  

Experience of interlocking intramedullary nail fixation in the treatment of tibial fracture

作　　者：刘万新[1] 刘日新[1] 陈选明[1] 李春晓[1] 

机构地区：[1]广东医学院附属陈星海医院骨科,广东中山528415

出　　处：《中国当代医药》2012年第21期253-254,共2页China Modern Medicine

摘　　要：目的探讨带锁髓内钉内固定术治疗胫骨骨折的临床效果。方法回顾性分析2001年1月～2010年12月本院应用C臂透视下闭合复位加带锁髓内钉内固定治疗胫骨骨折并随防182例患者的临床资料。结果所有随访病例均在4～8个月实现临床愈合,关节功能正常,无感染、畸形、脂肪栓塞及骨筋膜室综合征发生,按Johner-Wruhs功能恢复标准:优160例,良22例。结论带锁髓内钉治疗胫骨骨折具有创伤小、固定可靠、骨折愈合率高、能早期活动、感染率低等优点,可作为治疗胫骨骨折的内固定方法。Objective To investigate the clinical efficacy of interlocking intramedullary nail fixation in the treatment of tib- ial fractures. Methods The clinical data of one hundred and eighty-two eases of patients with tibial fracture treated with closed reduction under C arm fluoroscopy and interlocking intramedullary nail fixation in our hospital from January 2001 to December 2010 were analyzed retrospectively. Results All the cases were cured in 4 to 8 months, the joint function was normal, had no incidence of infection, deformity, fat embolism and osteofascial compartment syndrome. According to the Johner-Wruhs function recovered standard, one hundred and sixty cases were excellent, twenty-two cases were good. Con- clusion Intramedullary interlocking nail in the treatment of tibial fractures has advantages of small trauma, reliable fixation, high fracture healing rate, early activity and low infection rate, which can be used as the internal fixation method in the treatment of tibial fracture.

关 键 词：带锁髓内钉内固定术 胫骨骨折 临床疗效 愈合率 

分 类 号：R687.3[医药卫生—骨科学]