胫骨交锁髓内钉远端锁钉体外辅助瞄准装置的临床应用  

Clinical application of an extracorporeal assisted targeting device for distal locking nails of interlocking intramedullary nails of the tibia

作　　者：李运美[1] 邢宝瑞[1] 孙苏会 袁福禄[1] 张亚弟 Li Yunmei;XingBaorui;Sun Suhui;Yuan Fulu;Zhang Yadi(The Third Department of Traumatic Bone,Cangzhou Hospital of Integrated TCM-WM,Cangzhou Hebei,061001,China)

机构地区：[1]河北省沧州中西医结合医院创伤骨三科,河北沧州061001

出　　处：《生物骨科材料与临床研究》2022年第1期84-88,共5页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的探讨胫骨交锁髓内钉远端锁钉体外辅助瞄准装置的临床应用效果。方法回顾性分析2018年7月至2020年5月期间在河北省沧州中西医结合医院采用胫骨交锁髓内钉治疗的54例胫骨干骨折患者资料。根据是否辅助应用胫骨交锁髓内钉远端锁钉体外辅助瞄准装置分为两组。治疗组29例采用胫骨交锁髓内钉远端锁钉体外辅助瞄准装置辅助下进行胫骨交锁髓内钉远端锁钉。其中,男20例,女9例;年龄(49.4±11.9)岁;左侧11例,右侧18例;骨折AO/OTA分型:42-A型12例,42-B型10例,42-C型7例。对照组25例远端锁钉过程中仅采用髓内钉厂家自带瞄准装置。其中,男18例,女7例;年龄(49.6±12.7)岁;左侧9例,右侧16例;骨折AO/OTA分型:42-A型10例,42-B型7例,42-C型8例。比较两组的远端一次锁钉成功率、远端定位锁钉时间、手术时间、术中远端锁钉X线透视次数、术中出血量、术后切口感染率。结果54例患者均顺利完成手术,术中及术后均未出现严重的并发症。治疗组定位远端锁钉时间、手术时间、术中远端锁钉X线透视次数、术中出血量明显少于对照组,差异有统计学意义(P<0.05);治疗组远端一次锁钉成功率明显高于对照组,差异有统计学意义(P<0.05)。两组患者术后切口感染率比较差异均无统计学意义(P>0.05)。结论自行研制的胫骨交锁髓内钉远端锁钉体外辅助瞄准装置应用于胫骨髓内钉远端锁钉的置入过程中,可以显著缩短远端定位锁钉时间、手术时间、减少术中远端锁钉X线透视次数、术中出血量。Objective To investigate the effectiveness of clinical application of an extracorporeal assisted targeting device for distal locking nails of interlocking intramedullary nails of the tibia.Methods Retrospective analysis was performed on the data of 54 patients with tibial shaft fractures treated with interlocking intramedullary nails in the third department of traumatic Bone in Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Hebei Province from July 2018 to May 2020.The patients were divided into two groups according to the auxiliary application of an extracorporeal assisted targeting device for distal locking nails of interlocking intramedullary nails of the tibia.The treatment group included 29 patients,using the distal locking of the tibial interlocking intramedullary nail with the aid of an extracorporeal targeting device for the distal locking of the tibial interlocking intramedullary nail.There were 20 males and 9 females,with an average age of(49.4±11.9)years.There were 11 cases on the left side and 18 cases on the right side.AO/OTA classification of fracture:12 cases of type 42-A,10 cases of type 42-B and 7 cases of type 42-C.The control group included 25 patients,only the internal medullary nail manufacturer's own aiming device was used in the distal locking process.There were 18 males and 7 females,with an average age of(49.6±12.7)years old.There were 9 cases on the left and 16 cases on the right.AO/OTA classification of fracture:10 cases of type 42-A,7 cases of type 42-B,and 8 cases of type 42-C.The success rate of the first distal locking,the time of the distal positioning locking,the operation time,the number of intraoperative X-ray fluoroscopy of the distal locking,the intraoperative blood loss,and the postoperative incision infection rate of the two groups were compared.Results All the 54 patients successfully completed the operation,and there were no serious complications during and after operation.The time of positioning distal locking,operation time,intraoperative X-ra

关 键 词：胫骨骨折 骨折固定 髓内 远端锁钉 

分 类 号：R687.1[医药卫生—骨科学]