胫骨中下段后路手术的解剖学基础及临床  

ANATOMY BASE AND CLINIC OF POSTERIOR APPROACH OPERATION OF MIDDLE AND DISTAL PART OF TIBIA

作　　者：张朝春[1] 张发惠[1] 张志宏[1] 李杰[1] 林木南[1] 徐皓[1] 王力[2] 

机构地区：[1]福州总医院骨科 [2]福建中医学院

出　　处：《福州总医院学报》2003年第3期141-142,共2页Journal of Fuzhou General Hospital

摘　　要：目的:探讨胫骨中下段骨折伴前侧软组织严重损伤患者的手术入路及固定方法。方法:观测60例胫骨标本后面形态及横径值,并与矩形加压钢板宽度进行比较。结果:胫骨后面自滋养孔以下至内踝上5cm较扁平宽阔,长16.88±1.40cm,其上段横径2.05±0.22cm.中段横径1.86±0.19cm.下段横径2.39±0.26cm。股骨中下段后面形态适合矩形钢板内固定,临床应用36例,骨折愈合率达94.44%。结论:胫骨中下段骨折伴前部严重软组织损伤的病例,采用后路钢板内固定是手术适应症。Objective: To research the operational approach and fixed method of middle and dictal part of tibia fracture while its anterior soft-ticsues were injured seriuosly. Method: Thirty-six cases of tibien specimen were investigated their posterier shape and widths as compared with rectangle pressor steel plate. Results: Tibien posterier from nutrient foramen to medial malleolar upper 5cm were flat and broad. The length was 16.88±1.40cm. The widths of upper segment, midpiece, and lower segment were 2.05±0. 22cm, 1.86±0.19cm, and 2.39±0.26cm, individually. The posterior shape of middle and distal part of tibia fited internal fixation of rectangle steel plate. We have been used 36 cases in the clinic. The healing rate was 94.44 %. Conclusion:It is operational indication that using posterior approach steel plate to fix the middle and distal part of tibra fracture while its anterior soft-tissues were injured seriausly.

关 键 词：手术 解剖学 胫骨骨折 钢板固定 临床资料 

分 类 号：R683.42[医药卫生—骨科学]