Objective To investigate the curative effect of retrograde intramedullary nail for treatment of distal tibial fractures.Methods The 16 cases of distal tibial fractures were treated by using retrograde intramedullary nail tech-nique,the surgical conditions,fracture healing time,ankle range of motion and complications were recorded,and the effect was assessed with Johner-Wruhs scores criterion.Results The operation time was 50～90(60.42±11.42)min,and intraoperative bleeding volume was 60～100(70.25±9.47)ml.All patients were followed up for 9～22 months.No complications such as wound infection and internal fixation fracture occurred.All patients had fracture healing,with the time of 3～10(5.36±2.35)months.At the last follow-up,16 cases could load with full weight-bear-ing,of which 14 cases had normal gait,and 2 patients had mild claudication due to the ankle movement disorder,and the effect was evaluated with the Johner-Wruhs score criterion,the result was excellent in 9 cases,good in 6 cases,and fair in 1 case,with the excellent-good rate of 15/16.The ankle range of motion was dorsiflexion with 10°～30°(19.12°±6.98°),planter flexion with 26°～45°(34.19°±7.36°).Conclusions Retrograde intramedullary nail technique for treatment of distal tibial fracture can stabilize the fracture well,improve the fracture healing rate,and promote the joint functional recovery.
维普
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