| 加压交锁髓内钉治疗胫骨骨折23例 |
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投稿时间：2003-06-02
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| 作者 | Author | 单位 | Address | E-Mail |
| 高堂成 |
GAO Tang cheng |
第二军医大学长海医院骨科,上海200433 |
Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University |
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| 张春才 |
ZHANG Chun cai |
第二军医大学长海医院骨科,上海200433 |
Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University |
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| 王家林 |
WANG Jia lin |
第二军医大学长海医院骨科,上海200433 |
Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University |
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| 许硕贵 |
XU Shuo gui |
第二军医大学长海医院骨科,上海200433 |
Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University |
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| 沈洪兴 |
SHEN Hong xing |
第二军医大学长海医院骨科,上海200433 |
Department of Orthopaedics,Changhai Affiliated Hospital of the Second Military Medical University |
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| 期刊信息：《中国骨伤》2004年，第17卷，第6期，第346-348页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨加压交锁髓内钉特点及其在治疗胫骨干骨折中的应用。
方法:对23例胫骨干骨折的治疗作回顾性分析。根据AO/ASIF分类,A型骨折5例,B型骨折11例,C型骨折7例。闭合骨折18例,开放骨折5例。均在透视下行闭合复位、加压交锁髓内钉内固定术。
结果:23例均获随访,平均17个月(3～26个月)。采用JohnerWruh评分标准判定治疗效果,优14例,良7例,中1例,差1例,优良率为91.3%。无感染、无断钉和骨不连。
结论:胫骨加压交锁髓内钉具有3种工作状态,分别适用于不同类型的胫骨干骨折,是治疗胫骨干骨折的一种较好的内固定方法,值得临床推广应用。 |
| 【关键词】胫骨骨折 骨折固定术,内 回顾性研究 |
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| Application of interlocking compression nailing system in the treatment of fracture of tibial shaft |
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ABSTRACT
Objective:To explore the clinical application of interlocking compression nailing system(IC Nailing System)in the treatment of tibial shaft fractures.
Methods:A retrospective analysis was done in the treatment of tibial shaft fractures.According to classification of AO/ASIF,type A occurred in 5 cases,type B 11 cases,and type C 7 cases.Among 23 cases,18 were closed fractures and 5 were open fractures.All cases were treated with closed reduction and IC Nailing System under X ray.
Results:All cases were followed up from 3 to 26 months(17 months in average),and were evaluated,according to the criteria of Johner and Wruh.The results showed excellent in 14,good in 7,fair in 1,and bad in 1,without infection,nonunion or nailing broken.
Conclusion:With three kinds of employment state,IC Nailing System can be used in various types of tibial shaft fractures accordingly.Together with closed reduction under X ray,it is worthy of wide application in clinic. |
| KEY WORDS Tibial fractures Fracture fixation,internal Retrospective studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 高堂成,张春才,王家林,许硕贵,沈洪兴.加压交锁髓内钉治疗胫骨骨折23例[J].中国骨伤,2004,17(6):346~348 |
| 英文格式: | GAO Tang cheng,ZHANG Chun cai,WANG Jia lin,XU Shuo gui,SHEN Hong xing.Application of interlocking compression nailing system in the treatment of fracture of tibial shaft[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(6):346~348 |
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