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交锁髓内钉固定治疗胫骨干骨折的疗效观察

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目的:探讨交锁髓内钉治疗胫骨干骨折的适应症及优点。方法:回顾性分析笔者所在医院2008年以来应用交锁髓内钉固定治疗60例胫骨干骨折患者,其中开放性骨折18例(GustiloⅠ度10例,Ⅱ度8例),闭合性骨折42例,采用Johner-wruh 评分评价其治疗效果。结果:术后所有患者均获得随访,骨折均获愈合,无断钉,无伤口感染和骨髓炎发生、未发生脂肪栓塞综合征、骨筋膜间室综合征、关节僵硬等并发症。本组病例平均愈合时间为6个月,根据Johner-wruh 评分:优50例,良7例,差3例,优良率95%。结论:交锁髓内钉内固定治疗胫骨干骨折有术式简单、手术损伤小、固定可靠、可早期功能锻炼、骨折愈合率高、并发症少等优点,可作为治疗胫骨干骨折较理想的固定方式。
Objective Explore into interlocking intramedullary nails in the treatment of tibial fracture dry indications and advantages. Methods The writer's hospital were retrospectively analyzed since 2008 in application of interlocking intramedullary nail fixed treatment sixty cases of tibial fractures were treated with dry, including open fractures and cases (Gustilo degrees of 10 cases, 8 cases), closed fracture 42 patients, the Johner - wruh score evaluate its therapeutic effect. Results All the patients were followed up for postoperative, fracture have been healing, no broken nail, no wound infection and osteomyelitis happen not happen fat embolism syndrome bone fascia compartment syndrome ankylosis complications, such as the average healing time, all the cases for 6 months, according to Johner-wruh rating:optimal fifty cases, good in 7 cases, difference in 3, was 95%. Conclusion Pay interlocking intramedullary nails in the treatment of tibial fractures fixed do a simple surgical operation injury small fixed reliable early functional exercise can fracture healing rate less complications advantages, such as a treatment for tibial fractures can be dry ideal fixed mode.

Pay interlocking intramedullary nailsInside fixedTibial fracture dry

赵英杰、张如国

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贵州省遵义医学院附属医院

交锁髓内钉 内固定 胫骨干骨折

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(3)
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