闭合复位交锁髓内钉治疗胫骨干骨折  

Closed reduction interlocking intramedullary nail treatment of tibial shaft fracture

作　　者：郑昊[1] 吕游[1] 曹晓艳[1] 许广杰[1] 徐丽[1] 

机构地区：[1]吉化集团公司总医院骨科,吉林吉林132021

出　　处：《中国医药科学》2015年第18期178-181,共4页China Medicine And Pharmacy

摘　　要：目的探讨闭合复位交锁髓内钉治疗胫骨骨折的临床应用技术和疗效。方法回顾性分析我院自2011年5月~2013年11月使用交锁髓内钉治疗胫骨骨折35例,手术采用闭合复位、顺行插钉技术。结果在35例胫骨骨折中31例通过闭合复位髓内钉成功固定,其余4例因骨折粉碎重行小切口复位髓内钉固定。所有病例均随访,随访时间8~24个月,骨折全部愈合,无感染,无骨折延迟愈合、骨不连及畸形愈合。结论闭合复位带锁髓内钉是治疗胫骨骨折的理想方法。Objective To study the clinical application technology and curative effect of closed reduction interlocking intramedullary nail in the treatment of tibial shaft fracture. Methods 35 patients with tibial shaft fracture, who were treated with interlocking intramedullary nail in our hospital from May 2011 to November 2013, were randomly analyzed. The operation were adopted by closed reduction and antegrade nail insertion with humeral intramedullary interlocking nail. Results Of the 35 patients with tibial shaft fracture, 31 patients were successfully fixed with closed reduction interlocking intramedullary nail, while the other 4 patients who were serious comminuted fracture were fixed with small incision open reduction intramedullary nail fixation. All of the cases, who were followed-up of 8 to 24 months, were all fracture healing, without infection, without delayed fracture healing, nonunion and malunion. Conclusion Closed reduction interlocking intramedullary nail in the treatment of tibial shaft fracture is the ideal method.

关 键 词：闭合复位 交锁髓内钉 胫骨干骨折 

分 类 号：R687.3[医药卫生—骨科学]