小切口矩形钉治疗胫骨开放骨折
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作者Author单位AddressE-Mail
张宏志 ZHANG Hong zhi 解放军第203医院,黑龙江齐齐哈尔161000 The 203th Hospital of PLA Heilongjiang Qiqihaer,161000  
孙福祥 SUN Fu xiang 解放军第203医院,黑龙江齐齐哈尔161000 The 203th Hospital of PLA Heilongjiang Qiqihaer,161000  
王光华 WANG Guang hua 解放军第203医院,黑龙江齐齐哈尔161000 The 203th Hospital of PLA Heilongjiang Qiqihaer,161000  
闫树恒 解放军第203医院,黑龙江齐齐哈尔161000 The 203th Hospital of PLA Heilongjiang Qiqihaer,161000  
王海波 解放军第203医院,黑龙江齐齐哈尔161000 The 203th Hospital of PLA Heilongjiang Qiqihaer,161000  
期刊信息:《中国骨伤》2002年,第15卷,第8期,第452-453页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:评估小切口矩形钉治疗胫骨开放骨折的疗效。

方法:22例24处胫骨开放骨折采用早期彻底清创,手法复位,有限手术的融入小切口行矩形弹性髓内钉固定。

结果:随访6~18个月,平均6.8个月,骨折愈合时间为2~7个月,平均35个月。有2例浅表感染,经换药后1例3周愈合,1例4周愈合。无深部感染。骨折愈合后无成角、短缩、旋转等畸形,无膝、踝功能受限。

结论:早期彻底清创,手法复位,小切口矩形弹性髓内钉固定是治疗胫骨开放性骨折的一种有效的方法。
【关键词】胫骨骨折  骨折固定术  髓内  骨折,开放性
 
The use of the rectangle shaped intramedullary nail and minimal incision for the treatment of the open fractures of the tibia
ABSTRACT  

Objective:To investigate the clinical effects of minimal incision,early debridement,manipulative reduction,the rectangle shape intramedullary nails internal fixation of open fractures of the tibia

Methods:22 patients with 24 open fractures of the tibia had been treated with early debridement,manipulative reduction,the rectangle shape intramedullary nails

Results:The average of follow up was 6 8 months(6~18 months).The average time of the fracture union was 3 5 months(2~7months).There were two cases with superficial infection which healed up following wound dressing in 3~4 weeks.There were no malunion of fracture union.There were no limitations on knee,hip function.

Conclusion:Early debridement,manipulative reduction,the rectangle shaped intramedullary nails internal fixation are the effective methodsfor the treatment of open fractures of the tibia.
KEY WORDS  Tibial fracture  Fracture fixation,intramedullary  Open fracture
 
引用本文,请按以下格式著录参考文献:
中文格式:张宏志,孙福祥,王光华,闫树恒,王海波.小切口矩形钉治疗胫骨开放骨折[J].中国骨伤,2002,15(8):452~453
英文格式:ZHANG Hong zhi,SUN Fu xiang,WANG Guang hua.The use of the rectangle shaped intramedullary nail and minimal incision for the treatment of the open fractures of the tibia[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(8):452~453
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