胫骨骨折髓内针术后骨不愈合的影响因素

Influencing factors of bone nonunion after intramedullary needle operation for tibial fracture

陈少伟 ¹李文波 ²石杰 ²杨伟铎 ¹张玉祥 ¹王扶卉 ³高秋明²

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作者信息

1. 中国人民解放军联勤保障部队第九四〇医院创伤骨科,甘肃兰州 730050;宁夏医科大学临床医学院,宁夏银川 750004
2. 中国人民解放军联勤保障部队第九四〇医院创伤骨科,甘肃兰州 730050
3. 西北大学第一医院内分泌科,陕西西安 710000
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摘要

髓内针(IMN)治疗胫骨骨折具有愈合率高、并发症发生率低等优点,已成为治疗胫骨骨折最常用的固定方式之一.但受患者自身因素、骨折部位及骨折类型、感染和手术治疗方式等因素的影响,IMN术后骨不愈合在临床中仍有发生.骨不愈合导致患者的医疗费用增加,住院时间延长,给患者造成了巨大的痛苦,同时也给骨科医生的治疗带来了巨大挑战.因此,本文对胫骨骨折IMN术后骨不愈合的影响因素作一综述,以期为临床治疗提供参考.

Abstract

Intramedullary needle(IMN)has the advantages of high healing rate and low incidence of complications in treatment of tibial fracture,and has become one of the most commonly used fixation methods for the treatment of tibial fracture.However,due to the patient's own factors,fracture location and fracture type,infection and surgical treatment,bone nonunion after IMN still occurs in clinic.Bone nonunion leads to the increase of medical cost and prolonged the hospitalization time of patients,which causes great pain to patients,and also brings great challenges to the treatment of orthopedic surgeons.Therefore,this paper reviews the influencing factors of bone nonunion after IMN for tibial fracture,in order to provide reference for clinical treatment.

关键词

骨不愈合/胫骨骨折/髓内针骨折固定术/影响因素/综述

Key words

bone nonunion/tibial fracture/intramedullary nail fracture fixation/influencing factors/review

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基金项目

甘肃省自然科学基金(21JR11RA001)

甘肃省临床医学研究中心建设(21JR7RA016)

出版年

2024

局解手术学杂志

重庆市解剖学会,第三军医大学

局解手术学杂志

CSTPCD

影响因子：1.063

ISSN：1672-5042

参考文献量4

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