弯针配合半环形外固定架治疗胫骨中下段骨折21例  

21 Cases Clinical Study for Bending Needle Combined with Semi-Circular External Fixator on the Treatment of Middle and Lower Tibial Fracture

作　　者：李路广 史长龙[1] 吴钟凯[1] 成永忠[1] LI Luguang;SHI Changlong;WU Zhongkai;CHENG Yongzhong(Wangjing Hospital of China Academy of Traditional Chinese Medicine Sciences,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《中国中医骨伤科杂志》2021年第12期43-46,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：北京市自然科学基金面上项目(7172243)。

摘　　要：目的:观察弯针配合半环形外固定架治疗胫骨中下段骨折的临床疗效。方法:回顾性分析2019年6月至2020年9月,应用弯针配合半环形外固定架治疗的21例胫骨中下段骨折患者。观察手术时间、术中透视次数、拆除外固定架时间、骨折临床愈合时间及术后并发症,并评价临床疗效。结果:21例患者获得随访,随访时间为5~16个月,手术时间为23~75 min,术中透视次数为5~25次,术后3~4个月拆除外固定架。所有患者临床疗效的优良率为90.48%,骨折临床愈合时间3~5个月,均未出现皮肤坏死、针孔感染、下肢血栓形成、关节僵硬或内固定断裂等并发症。结论:弯针配合半环形外固定架治疗胫骨中下段骨折,操作简单,稳定性更好,术后可早期下地负重,骨折愈合率高,并发症少。Objective:To observe the clinical efficacy of bending needle combined with semi-circular external fixator on the treatment of middle and lower tibial fracture.Methods:21 patients with middle and lower tibial fractures from June 2019 to September 2020 were treated with bending needle combined with semi-circular external fixator.The time of operation, removing external fixator and clinical healing, the times of intraoperative fluoroscopy and postoperative complications were observed, and the clinical efficacy was evaluated.Results:21 patients were followed up for 5 to 16 months.The operation time was 23 to 75 min.The number of intraoperative fluoroscopies were 5 to 25 times, and the external fixator was removed 3 to 4 months after operation.The excellent and good rate of clinical curative efficacy of all patients was 90.48%.The clinical healing time of fracture was 3 to 5 months.There was no complications such as skin necrosis, pinhole infection, lower limb thrombosis, joint stiffness or fracture of internal fixation.Conclusion:Bending needle combined with semi-circular external fixator on the treatment of middle and lower tibial fracture has the advantages of simple operation, better stability, early weight bearing, high fracture healing rate and less complications.

关 键 词：胫骨中下段骨折 弯针 半环形外固定架 微创 

分 类 号：R683.42[医药卫生—骨科学]